Updated 03/27/2020: The House of Representatives has passed the Coronavirus Aid, Relief and Economic Security (CARES) Act, sending the bill to President Trump's desk awaiting signature. The bill...
Leading provider groups are calling on the federal government to protect them from financial losses stemming from the COVID-19 outbreak to ensure frontline providers have the supplies, infrastructure,...
The American Medical Association (AMA) recently announced that the CPT Editorial Panel approved a new Current Procedural Terminology (CPT) code for a novel coronavirus test.
“In the face of the...
President Trump declared the COVID-19 outbreak a national emergency last week in a move that will allow HHS to enact 1135 waivers and regulatory flexibilities to help hospitals activate emergency...
Capping out-of-network payments to hospitals at 125 percent of Medicare rates could yield up to $124 billion in savings nationwide, making this a viable policy alternative to Medicare-for-All,...
Accountable care organizations (ACOs) are calling a new Medicare requirement on hospitalization alerts “a win for better population health management,” the National Association of ACOs...
CMS recently announced the development of new billing codes for coronavirus lab tests that will enable clinical laboratories and other providers to receive reimbursement for supporting patients during...
UPDATE 03/06/2020: HR 6074 became public law no: 116-123 on March 6, 2020.
The federal government is one step closer to delivering funds to key stakeholders in the novel coronavirus...
In order to achieve more rapid coronavirus diagnostic testing capacity, the FDA will allow certain clinical laboratories, including some hospital labs, to use diagnostic kits developed in-house to test...
All states have anti-trust statutes in place to preserve provider competition in the face of rapid consolidation, but more state governments are relying on price transparency, health plan contracting...
The Comprehensive Care for Joint Replacement (CJR) Model is slated to sunset by the end of the year, but a recently proposed rule from CMS would extend the bundled payment program for another three...
The CMS Innovation Center – otherwise known as CMMI – has been the federal government’s key instrument for healthcare payment and care delivery reform. But lately, policymakers and...
President Trump’s proposed budget for the 2021 fiscal year (FY) is stirring up controversy over massive cuts to Medicare and Medicaid spending and proposals to implement work requirements and...
Patients should be able to know the prices of services before they receive care, HHS stated in response to a lawsuit challenging the department’s most recent hospital price transparency...
Nearly one-third of providers report a negative experience with payer audits, with one in ten reporting that they spend over $1 million in administrative costs annually, according to a recent Frost and...
The Department of Justice recovered over $3 billion from False Claims cases in the 2019 fiscal year, with $2.6 billion coming form healthcare fraud schemes.
In a recent announcement, the Justice...
The national disparity between gross charges for hospital procedures is substantial, at an average of 297 percent difference between the lowest and highest gross charge for each individual procedure,...
Weaknesses in HRSA oversight of the 340B drug pricing program may result in some hospitals receiving discounts when they are not eligible to participate, a new report from The Government Accountability...
Hospital stakeholders filed a lawsuit on Monday challenging HHS’ most recent attempt to implement site-neutral payments for certain outpatient services rendered in hospital settings.
Contending...
One in three rural adults have problems paying their medical bills or dental treatments even after the implementation of the Affordable Care Act, according to a recent study by researchers at the...
