CMS
publication date
Payer
Medicare Trustees Report: Hospital Trust Fund Extended
The report presented a significant win for hospitals, yet illustrates where more funding is needed.
Telehealth
House Committee Vote Gives Hope to Extending Telehealth, Hospital at Home Waivers
The House Ways and Means Committee has approved a bill that would extend CMS pandemic-era telehealth waivers another two years...
Payer
The First of Many Firsts: The New CMS Innovation in Behavioral Health Model
Specialty behavioral health practices will be incentivized to coordinate comprehensive health.
CMO
Prisma Health Boosts Accountable Care in Partnership with CVS Health Division
The South Carolina-based health system's ACO is working in collaboration with CVS Accountable Care.
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
From Layoffs to Closure: The Fate of One California Hospital After Medicare Contract Termination
CMS found Stanislaus Surgical Hospital to be out of compliance with Medicare and Medicaid program requirements.
Payer
3 Health Systems Sue Aetna for Breach of Contract
One of the biggest insurers is in trouble again.
Payer
The Wrong Way to Do Medicaid: Enrollment Disparity
Medicaid unwinding left millions uninsured, particularly children, Black, Hispanic and lower income communities.
Payer
Infographic: A Brief History of Medicare Advantage
Medicare Advantage has gone through numerous changes and hurdles since its creation.
Payer
After Public Push, CMS Curbs Health Insurance Agents' Access to Consumer SSNs
The access to policyholders' personal information was one of the problems cited by KFF Health News.
Payer
MA Cuts Will Hurt These Smaller Groups, Not Big Payers
The new rate cut will have a strong impact, but not on big payers.