A rule proposed by CMS earlier today aims to modernize Medicare’s physician self-referral law, which is also known as the Stark Law, in an effort to advance value-based care.
The Stark law...
An executive order signed by President Trump on Thursday directs HHS to explore tying Medicare fee-for-service rates to those negotiated for Medicare Advantage plans and other market-based pricing...
A healthcare price transparency rule proposed earlier this year by CMS aims to empower patients by requiring the public disclosure of rates negotiated by hospitals and payers. But hospitals and other...
A surprise billing law implemented in New York four years ago is being considered a success according to the state’s Department of Financial Services.
In a report released earlier this month,...
Policymakers in Georgia are forming a task force to address healthcare cost and access issues in the state, including price transparency and free market solutions, according to an announcement from the...
As the 2020 elections draw closer, healthcare reform is taking center stage on the national level. But the topic has already been at the top of state priority lists, with several states already passing...
Underinvestment in programs that address social determinants of health is not to blame for excessive healthcare costs in the US, a new study published in Health Affairs indicates.
Data from the...
As many as 55 percent of rural hospitals – or 1,037 hospitals – would be at a high risk of closure under a Medicare public option, revealed a recent analysis conducted by Navigant...
CMS is planning to overhaul reporting for the Merit-Based Incentive Payment System (MIPS) in order to make the pay-for-performance program less burdensome and more meaningful to providers, according a...
A proposal to increase hospital price transparency by requiring facilities to publish their negotiated rates with private payers is raising red flags among major industry groups, including the American...
CMS recently released a final rule that will increase inpatient Medicare reimbursement by a net of 3.1 percent in fiscal year (FY) 2020, as well as modify the hospital wage index, technology payments,...
In a speech opposing Medicare for All and single payer proposals, CMS Administrator Seema Verma outlined a different vision for lowering healthcare costs: inserting competition in the healthcare...
Legislation that would end surprise medical billing would save nearly $7.6 billion over the next decade primarily by reducing federal subsidies for healthcare and insurance, the Congressional Budget...
On July 10, 2019, CMS proposed a mandatory radiation oncology bundled payment model that aims to improve the quality of care for cancer patients undergoing radiotherapy treatment and reduce provider...
CMS is considering a number of changes to the home health prospective payment system (PPS) in CY 2020 and 2021, including making the home infusion benefit permanent and further implementing a new...
Following President Trump’s Advancing Kidney Health executive order, CMS announced one mandatory and four voluntary alternative payment models (APMs) to address chronic kidney disease and...
CMS is postponing the implementation of outpatient prospective payment system (OPPS) claim edits that would require hospitals and health systems with multiple locations to list provider addresses on...
Medicare for All would certainly reduce healthcare spending through lower physician revenue. But the policy could also have unintended negative consequences, such as increasing the volume of expensive...
Hospitals in Florida no longer face certificate of need (CON) requirements for building facilities or launching services, such as comprehensive medical rehabilitation, neonatal intensive care, organ...
The Trump Administration touted a new executive order on hospital price transparency as a “historic action … fundamentally changing the nature of the healthcare marketplace.” But...
