The Community Oncology Alliance (COA) has raised concerns that the high volume of contract pharmacies participating in the 340B drug pricing program allows pharmacy benefit managers (PBMs) to profit...
Five hospital organizations, including the American Hospital Association (AHA) and 340B Health, have urged two US Courts of Appeals to uphold the 340B drug pricing requirement for pharmaceutical...
On average, private payers paid hospitals 224 percent of what Medicare would have paid for the same inpatient and outpatient services, according to a report from the RAND Corporation.
Researchers used...
Safety-net hospitals have faced around $2.2 million in annualized losses due to pharmaceutical companies limiting 340B drug discounts at community and specialty pharmacies, a report from 340B Health...
CMS has released its Hospital Inpatient Prospective Payment System (IPPS) proposed rule for fiscal year 2023, which includes a payment rate boost for general acute care hospitals and new measures...
Hospital prices paid by commercial health plans varied between 2012 and 2019, as hospitals with both high and low initial commercial to Medicare price ratios saw increases and decreases over the years,...
Implementing stratification within the Medicare Hospital Readmissions Reduction Program (HRRP) helped improve health equity by decreasing penalty rates for safety-net hospitals, rural hospitals, and...
Receiving care from higher-priced hospitals only led to better health outcomes when the facility was in a relatively unconcentrated market. There was no association between high prices and mortality at...
Safety-net hospitals have faced losses of up to $9 million due to a handful of drug companies limiting 340B discounts on prescription drugs dispensed through community pharmacies, according to a report...
An analysis published in JAMA Health Forum linked uninsured population size to federal reimbursement for uninsured COVID-19 treatment.
The Health Resources and Services...
Bristol Myers Squibb has notified safety-net hospitals participating in the 340B Drug Discount Program that it will only recognize two designated contract pharmacy locations per hospitals. The company...
The Medicare Payment Advisory Committee (MedPAC) has voted to recommend increases to hospital reimbursement for both inpatient and outpatient services in fiscal year (FY) 2023.
MedPAC convened...
According to a new FAIR Health study, COVID-19 hospitalization cost varies by state, with complex hospitalizations for COVID-19 in-network average cost maxing out at $128,650.
“Behind the...
HHS announced the distribution of approximately $9 billion in Provider Relief Fund (PRF) Phase 4 payments to reimburse healthcare providers who experienced pandemic-related revenue losses and...
Starting January 1, CMS will increase penalties for noncompliance with hospital price transparency requirements under the newly released Calendar Year (CY) 2022 Hospital Outpatient Prospective Payment...
Hospitals lost millions in revenue when leaders decided to delay or cancel elective surgical care during the initial wave of COVID-19. But the decision may also have long-term costs associated with it,...
The Health Resources and Service Administration (HRSA) has opened the portal for healthcare providers to apply for part of $25.5 billion in COVID-19 relief funds.
The American Rescue Plan Act will...
COVID-19 hospitalizations can cost up to $318,000, according to new cost estimates from FAIR Health.
The FAIR Health Total Treatment Cost COVID-19 benchmarks account for the costs incurred by COVID-19...
A new report shows the employers will use payer-specific negotiated rates exposed by hospital price transparency requirements to extract lower reimbursement rates from providers in their...
CMS has finalized an approximate $2.3 billion increase in hospital payments next year, including a 2.5 percent bump for hospital reimbursement rates under Medicare’s Inpatient Prospective Payment...
