Medicare/Medicaid
publication date
Payer
6 Best Reimbursement Stories of 2021Here are the six best reimbursement stories from 2021 HealthLeaders' coverage and beyond.
Revenue Cycle
4 Key Issues for the Revenue Cycle in 2022Taya Moheiser, CMPE, CMOM, owner of ITS Healthcare, and Kem Tolliver, CMPE, CPC, CMOM, president of Medical Revenue Cycle Specialists...
Payer
West Virginia Sen. Manchin Takes the Teeth Out of Democrats’ Plan for Seniors’ Dental CareSenator Joe Manchin of West Virginia opposes adding dental and other benefits for Medicare beneficiaries. He says it will cost...
Covid-19
CMS Suspends Enforcement of Vaccine Mandate for Healthcare WorkersIn a December 2 memo to state survey agencies, CMS told surveyors not to survey to the vaccination rule until...
Payer
CMS Repeals Final Rule on Digital Therapeutics in a Year of Shifting Guidance"[T]he absence of an established, repeatable, and scalable path to commercialization and prescription of DTx has bottlenecked broader uptake," says...
Payer
Medicaid Program Pioneers Reimbursement for Prescription Digital Therapeutics"[T]here is no guidebook, there is no blueprint, none of us has ever done this before," says one plan executive.
Finance
As Big Pharma and Hospitals Battle Over Drug Discounts, Patients Miss Out on Millions in BenefitsCongress created the 340B program in 1992 to provide extra funding for hospitals and clinics, especially those serving the poor...
Technology
CMS Expands Coverage for Telehealth in Mental Health CareThe Centers for Medicare & Medicaid Services is making it easier for healthcare providers to use telehealth ? including the...
Strategy
Democrats Plan to Expand Medicare Hearing Benefits. What Can Consumers Expect?Democrats have little room for maneuvering on the bill. They need all 50 Democratic senators to support it and can...
Payer
The Public Backs Medicare Rx Price Negotiation Even After Hearing Both Sides' ViewsThe argument that drug companies need to charge high prices to develop new drugs does little to change that sentiment.
Payer
InnovAge California PACE Suspended, CMS CITEs Care DeficienciesA CMS audit found that Sacramento-based InnovAge was out of compliance in several areas.
Payer
Census: Insured Population Holds Steady, With a Slight Shift From Private to Public CoverageTwenty-eight million people, or 8.6% of Americans, were uninsured for all of 2020. In 2019, 8% of people were uninsured...