CMS
publication date
Revenue Cycle
CMS to Test New Prior Authorization Requirements in Traditional Medicare
A new CMS model will introduce new prior authorization requirements to traditional Medicare in six states, raising provider concerns about...
Payer
Analysis: To Cut Medicaid, the GOP's Following a Path Often Used to Expand Healthcare
The budget reconciliation process is how nearly every major piece of health legislation has passed Congress since the 1980s.
Innovation
Defining the Benefits of the Hospital at Home Strategy
In this week's The Winning Edge webinar, executives from three leading health systems discussed how the platform improves clinical outcomes,...
Innovation
Best Buy Sells Current Health, Pivoting Away From Hospital at Home
The announcement speaks to a subtle shift in the Hospital at Home strategy, and an understanding that care needs to...
Payer
Federal Proposals Threaten Provider Taxes, Key Source of Medicaid Funding for States
Although it's unclear how much states could lose, the revenue up for grabs is big.
Innovation
The Winning Edge Checks Into the Hospital at Home Strategy
Executives from three health systems leading the way in developing Hospital at Home programs will discuss the benefits, drawbacks and...
CFO
Senate's Progress On 'Big Beautiful Bill' Spurs Ugly Debate Across Healthcare
As Senate Republicans push forward with the 'Big Beautiful Bill' CFOs across the country are sounding alarms about the potential...
Payer
The Price of an Obamacare Plan Could Surge Next Year
Without enhanced subsidies, ACA insurance premiums would rise by more than 75% on average.
Payer
'We Can't Afford to Get this Wrong' — The Hidden Costs of 'Fixing' the Marketplace
Proposed ACA reforms could unintentionally erode affordability and access, destabilizing the very marketplaces they aim to strengthen.
Payer
Four Ways Trump's 'One Big Beautiful Bill' Would Undermine Access to Obamacare
Millions of people might drop or lose coverage by 2034 as a result, according to the nonpartisan CBO.
CFO
$200B in Uncompensated Care: CFO Outlook on the Reconciliation Bill
The bill could slash Medicaid funding and end enhanced premium subsidies, threatening over $1 trillion in provider revenue.