Funding for the Biden administration’s new infrastructure package should not come with the sacrifice of extending mandatory Medicare sequestration through 2031, the AHA and other major healthcare...
HHS unlawfully changed the weighting factors assigned to residents and fellows for Medicare Direct Graduate Medical Education (DGME) payments, according to a recent opinion from the US District Court...
CMS announced that it will delay the effective date of a final rule updating the definition of “reasonable and necessary” and the guidelines surrounding the Medicare Coverage of Innovative...
After reports have indicated inconsistent adherence to the CMS price transparency final rule put into effect on January 1, 2021, ranking members on the US House Energy and Commerce Committee wrote a...
Many hospitals are not complying with the CMS price transparency rule more than four months after its passage, according to a new KFF analysis that calls for data standardization.
Put into effect on...
The American Hospital Association (AHA) has announced its support of President Biden’s pick for CMS Administrator, Chiquita Brooks-LaSure, ahead of the confirmation hearing this week.
The...
CMS has proposed a $444 million increase in Medicare payments to skilled nursing facilities (SNFs) in the federal fiscal year (FY) 2022, according to a new proposed rule.
The rule released late...
CMS has released the proposed rules for the Inpatient Rehabilitation Facility (IRF) Prospective Payment System and the Inpatient Psychiatric Facility Prospective Payment System for fiscal year (FY)...
Future Provider Relief Fund distributions should prioritize allocation to physician practices struggling with the financial consequences of the COVID-19 pandemic, not just hospitals, physician groups...
Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill patients more than in-network cost-sharing for out-of-network...
UPDATED The American Medical Association (AMA) has urged Congress to prevent pending Medicare spending cuts triggered by the latest COVID-19 relief plan.
In a March 16 letter to House Speaker...
UPDATED The Senate has approved California Attorney General Xavier Becerra as the next Secretary of the Department of Health and Human Services (HHS).
Senators approved Biden’s pick for the...
UPDATED 04/16/2021 A bill is seeking to prevent across-the-board spending cuts triggered by the latest COVID-19 relief package, including the 2 percent Medicare sequester reduction, known as...
The latest $1.9 trillion COVID-19 relief package includes several provisions advantageous to healthcare providers but will leave them to face significant Medicare spending cuts in the future.
Passed...
The Biden administration has paused several prominent value-based reimbursement models run by the CMS Innovation Center (CMMI) to review model details, according to several updates provided on model...
As Congress gets ready to pass another COVID-19 stimulus package this week, physicians are once again calling on lawmakers to consider extending the moratorium of the Medicare sequester in a bid to...
The Biden administration will provide COVID-19 reimbursement to clinicians vaccinating uninsured patients, according to new CMS guidance.
The guidance released on Feb. 26, 2021, stated that providers...
Individual clinicians who must participate in Medicare’s Merit-Based Incentive Payment System (MIPS) for the 2020 performance period will automatically have the extreme and uncontrollable...
Hospital price transparency policies are slated to save between $8.7 billion to $26.6 billion a year, but that may not make a big enough dent in the $1.2 trillion—and growing—hospital...
The COVID-19 pandemic has resulted in a significant increase in state telehealth reimbursement laws, but more progress can still be made to address the biggest barrier to telehealth adoption, lawyers...
