CMS has proposed to pay $9 billion to hospitals impacted by payment cuts to the 340B Drug Pricing Program between 2018 and 2022.
The proposal is CMS’ remedy to cutting 340B payments from the...
The Federal Trade Commission (FTC) and the US Department of Justice (DOJ) have proposed changes to the premerger review process to allow more effective screenings of healthcare deals for competition...
CMS has released the calendar year (CY) 2024 Home Health Prospective Payment System (HH PPS) Rate Update proposed rule, which includes a 2.2 percent, or $375 million, cut to Medicare home health...
CMS has released a proposed rule for the end-stage renal disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2024. The...
CMS has formally withdrawn the COVID-19 vaccine mandate for healthcare workers, according to a final rule published in the Federal Register today.
The Omnibus COVID-19 Health Care Staff Vaccination...
SouthEast Eye Specialists, SouthEast Eye Surgery Center, and the Eye Surgery Center of Chattanooga (SEES) must pay $17 million to the United States and Tennessee to resolve allegations that they...
Enacting scheduled cuts to Medicaid Disproportionate Share Hospital (DSH) payments would leave the most vulnerable patients and providers open to more access to care problems, a bipartisan group of...
This week, the American Hospital Association (AHA) told Congress ways to improve hospital price transparency initiatives and compliance.
The United States House Ways and Means Committee earlier this...
The US government could run out of money by next month if lawmakers cannot agree on raising or suspending the country’s debt limit. This economic catastrophe could leave the US without funds to pay its bills, and healthcare providers...
Nearly a year after the federal government launched the independent dispute resolution (IDR) process under the No Surprises Act, over 330,000 balance billing disputes have been filed, nearly 14 times...
Lawmakers have their eyes on pharmacy benefit manager (PBM) reform, but one bill is looking to take it a step further by requiring commercial payers to share pharmacy claims data with providers to...
The COVID-19 public health emergency (PHE) has officially ended, and with it, so have policies that helped healthcare providers navigate challenging circumstances, including provider relief funds and...
As Medicare Advantage enrollment grows, medical practices are experiencing more prior authorization burdens, including higher administration costs and disrupted workflows, a report from the Medical...
HHS and DHS are starting the process of ending the COVID-19 vaccine requirement for CMS-certified healthcare facilities, as well as Head Start educators and certain noncitizens at the borders.
The...
CMS is cracking down on hospital price transparency compliance — or lack thereof.
The federal agency announced yesterday updated enforcement procedures, including earlier and automatic civil...
For the first time, HHS is releasing ownership data on all Medicare-certified hospice and home health agencies in an effort to increase transparency and competition in healthcare.
HHS announced...
House Committee on Oversight and Accountability Chairman James Comer (R-KY) and Representative Nick Langworthy (R-NY) recently launched an investigation into how HHS allocated COVID-19 relief funds to...
CMS has released a proposed rule for the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS). The proposed rule would update hospital payment rates by 2.8 percent next fiscal year and...
Several lawmakers are seeking to tie physician payment updates in Medicare to inflation to prevent potential physician shortage issues.
Representatives Raul Ruiz, MD (D-CA-25), Larry Bucshon, MD...
CMS has issued a proposed rule that includes a 3.7 percent payment update for skilled nursing facilities (SNFs) and changes to the SNF Quality Reporting Program (QRP) and the SNF Value-Based Purchasing...
