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publication date

Payer
Why Do Americans Pay More for Prescription Drugs?
ProPublica | May 09, 2025
Drug companies in the U.S. face few restraints on what to charge for their products. A bipartisan bill would penalize...
CFO
Seeking Spending Cuts, GOP Lawmakers Target a Tax Hospitals Love to Pay
KFF Health News | May 08, 2025
The CBO estimates eliminating provider taxes would save the federal government more than $600 billion over a decade.
CFO
A CFO's Guide to Navigating Potential Medicaid Cuts
Marie DeFreitas | May 05, 2025
Medicaid cuts would severely damage access to healthcare, and healthcare leaders are speaking up.
Innovation
Congress Eyes Reimbursement Boost for Rural RPM Programs
Eric Wicklund | May 01, 2025
A bill introduced in both the Senate and House would Improve Medicare reimbursement for rural providers using RPM technology.
Payer
SDOH in the Anti-DEI Era: The New Call to Action
Laura Beerman | May 01, 2025
Payers are facing possible CMS funding cuts to Medicaid waiver programs and possible threats to SDOH data collection.
Payer
Will SDOH Follow DEI's Decline? 3 Warning Signs for Healthcare Leaders
Laura Beerman | April 25, 2025
Discover the three critical signals every healthcare leader and payer needs to watch ? before reform efforts possibly unravel.
Payer
The Ranks of Obamacare 'Fixers' Axed in Trump's Reduction of Health Agency Workforce
KFF Health News | April 22, 2025
The cuts have demoralized caseworkers, whose jobs demand a grasp of complex and arcane health insurance rules.
Revenue Cycle
Infographic: MA Enrollment in 3 Charts
Luke Gale | April 18, 2025
Growth in Medicare Advantage enrollment has slowed and plans are performing more poorly in quality ratings than in other recent...
Payer
RFK Jr. Struggles to Navigate Frustrated Supporters and a Demanding Boss
KFF Health News | April 17, 2025
Kennedy's allies say he's become almost inaccessible since his confirmation and has made glacial progress advancing MAHA goals.
Innovation
New Study: RPM Reimbursement Needs a Reset
Eric Wicklund | April 16, 2025
CMS spent almost $200 million on remote patient monitoring in 2023, and more providers are embracing the technology to track...
Innovation
A Path for AI ROI? Lawmakers Float Bill for Medicare Reimbursement
Eric Wicklund | April 11, 2025
Two U.S. Senators have co-sponsored a bill that would create a better pathway for Medicare coverage of FDA-approved AI tools...
Payer
Medicare Advantage: Why Members and Plans Paid More
Laura Beerman | April 10, 2025
Cost shares have as much as doubled as plans get a payment rate hike.
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