CMS
publication date
Revenue Cycle
CMS Proposes Modest Payment Bump, Major Policy Shifts in 2026 OPPS Proposed Rule
CMS suggests a modest 2.4% payment update in the 2026 Hospital Outpatient Prospective Payment System proposed rule on top of...
CMO
RFK Jr. Wants to Revolutionize a Program that Supports Childhood Immunizations. The Results Could Be Catastrophic.
Dramatic changes to the Vaccine Injury Compensation Program risk driving drugmakers from the market, threatening access to shots.
CMO
CMS Releases Proposed Rule for 2026 Physician Fee Schedule
The proposed rule would increase the conversion factor used to set physician payments by more than 3%.
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.