Clinical CareCMS Announces 'Historically Low' Medicare Advantage Premiums, New Insulin Payment Model
More than 1,600 Medicare Advantage and Part D prescription plans will cap insulin monthly copays at no more than $35....
StrategyStakeholders Urge CMS to Drop Proposed ACO Quality Changes
Providers also complain that the delayed release of the final rule cuts into the time ACOs and other APMs would...
StrategyHe Wanted to Fix Rural America's Broken Nursing Homes. Now, Taxpayers May Be on the Hook for $76 Million.
Ronnie Rollins used a controversial loophole to secure $300 million in bonus payments for his nonprofit nursing home chain. A...
FinanceRural Hospitals Teeter on Financial Cliff as COVID Medicare Loans Come Due
Officially, the total repayment of the loan is due this month. Otherwise, federal regulators will stop reimbursing the hospitals for...
Revenue CycleCMS Revises Billing Instructions for Inpatient COVID-19 Claims
The test must be performed within 14 days of admission, and the results must be documented in the patient?s medical...
FinanceFitch says CARES Act Paybacks Won't Be a Problem for Nonprofit Hospitals
The bond rater said the repayments would only be problematic for hospitals "if there is a significant rise in infections...
InnovationMedicare Shared Savings ACOs Saved $2.6B in 2019
The savings represents a $940 million increase over the $1.7 billion saved in 2018.
FinanceCiting Stakeholder Concerns, CMS Withdraws the MFAR
CMS Administrator Seema Verma said state and provider partners raised concerns about "potential unintended consequences" of the proposed rule, which...
StrategyAHA Asks Appeals Court to Reconsider Decision in Off-campus PBD Payment Cut Case
Notably, the reductions were not budget-neutral, meaning the savings were not redistributed within the OPPS.
StrategyDNV-GL Now Second Deeming Authority for Psych Hospitals
During surveys at psychiatric hospitals, the survey team will have at least one member with a background in behavioral health.
FinanceCMS' Proposal to Update MS-DRGs Based on Market Prices
A key objective is to enable updates to the MS-DRG payment rates that are no longer dependent on gross charges...
InnovationCMS Launches 'Streamlined Redesign' of Medicare Compare Tools
Upgraded design eases patient access when shopping for healthcare services.