CMS
publication date
Payer
Why Do Americans Pay More for Prescription Drugs?
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
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
Medicaid cuts would severely damage access to healthcare, and healthcare leaders are speaking up.
Innovation
Congress Eyes Reimbursement Boost for Rural RPM Programs
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
Socially Determined's Trenor Williams connects the dots and defines the steps.
Payer
Will SDOH Follow DEI's Decline? 3 Warning Signs for Healthcare Leaders
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
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
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
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
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
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
Cost shares have as much as doubled as plans get a payment rate hike.