Fourteen healthcare industry groups, including the American Hospital Association (AHA) and the American Medical Association (AMA), recently backed the campion to Senate legislation that would alter...
The American Medical Association (AMA) adopted a new policy calling on all medical schools and residency programs to include healthcare economics training related to the structure and financing of the...
Sutter Health and Sacramento Cardiovascular Surgeons Medical Group Inc. (Sac Cardio) they reached a settlement with the Department of Justice to resolve allegations that they violated the Stark Law and...
The AHA announced its decision to sue HHS over the recently finalized hospital price transparency rule, which will require hospitals to disclose their payer-specific negated rates to consumers,...
HHS dropped two healthcare price transparency rules earlier today. The first is a final rule requiring hospitals to make all standard charges, including payer-specific negotiated rates, public in a...
A rule proposed by CMS on Tuesday would enable greater transparency and oversight of Medicaid supplemental payments to providers, which have proliferated in the last couple of years.
The Medicaid...
In July, CMS proposed in the Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2020 to expand existing hospital price transparency requirements by mandating hospitals to...
Bernard J. Tyson, chairman and CEO of Kaiser Permanente, passed away unexpectedly in his sleep Sunday morning, the non-profit integrated delivery network announced in a press release on November 10. He...
A final rule released last week will increase Medicare payments to home health agencies by about 1.3 percent, or $250 million, in calendar year (CY) 2020 and establish a permanent home infusion therapy...
CMS last Thursday finalized a rule that will bump the bundled Medicare reimbursement rate for end-stage renal disease (ESRD) providers by $4.06 in 2020 and create a transitional add-on payment...
CMS and the Department of Veterans Affairs (VA) recently announced a new data sharing initiative in which the departments will share provider enrollment data to prevent healthcare fraud, waste, and...
Patient access is still a largely manual process for most health systems, but more organizations are looking to automate, according to an Eliciting Insights survey.
The survey of patient access...
CMS recently finalized the final rules for the Medicare Physician Fee Schedule and the Outpatient Prospective Payment (OPPS) in 2020. The rules will notably retain all five levels of evaluation and...
Through the Health Resources and Services Administration (HRSA), HHS is providing $319 million in scholarship and loan repayment awards for dental, medical, and behavioral health to boost the...
A recent study from the USC-Brookings Schaeffer Initiative for Health Policy showed that New York’s solution for surprising billing increased what payers and patients pay for out-of-network...
Late last week, CMS started to accept applications for two new alternative payment models focusing on kidney and primary care, with the latter now facing a delayed implementation.
Both the Kidney Care...
The Affordable Care Act (ACA) did more to improve hospital fiscal health than boost profitability and decrease the amount of uncompensated care delivered, according to a recent study from the...
Despite aiming to reduce costs and help consumers shop for quality, affordable medical services, healthcare price transparency tools in Massachusetts are not working as intended, according to a new...
In light of new value-based care models and creative partnerships between providers, CMS is ditching its pay-and-chase approach to reducing Medicare fraud, waste, and abuse and implementing a new...
HHS recently made moves to update the Stark Law and Anti-Kickback Statute, two healthcare fraud rules created decades ago that have prevented physicians, hospitals, and other healthcare providers from...
