price transparency
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...
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.
Revenue Cycle
How Rev Cycle Leaders are Mastering Pre-Service Payments and Estimate Accuracy
The latest webinar in The Winning Edge series features a discussion among leaders from UW Health, INTEGRIS Health, Moffitt Cancer...
Payer
How Much Will that Surgery Cost? Hospital Prices Remain Largely Unhelpful.
Trump's 2025 order shows how little progress the country has made since he issued a similar directive nearly six years...
Revenue Cycle
Employers Press Congress to Cement Health Price Transparency Before Trump's Return
Employers are using transparency data to try to slow growth of their healthcare costs.
Payer
FL Gov. DeSantis' Canadian Drug Import Plan Goes Nowhere After FDA Approval
A Florida health official familiar says there is no planned date yet for the state to begin importing drugs.
Revenue Cycle
Provider CFOs Bristle at Payer 'Dirty Tactics.'
Eight-in-10 surveyed provider execs say the rise in payer denials is 'brazen' and 'intentional.'
Payer
KFF Health News Sues to Force Disclosure of Medicare Advantage Audit Records
Lawyers for KFF say the information is 'critically important to public oversight of government misspending.'
Payer
Employers Haven't a Clue How Their Drug Benefits Are Managed
A new KFF survey indicates how little employers understand the PBMs and their pricing policies.
Payer
CA May Regulate and Restrict PBMs
PBMs have been under fire for years for alleged profiteering and anticompetitive conduct, but Congress has yet to act.
CFO
California Becomes Latest State To Try Capping Health Care Spending
California is the ninth state ? after Connecticut, Delaware, Massachusetts, Nevada, New Jersey, Oregon, Rhode Island, and Washington ? to...
Payer
Price Transparency: Private Plans Pay More, A Lot More
Left without cost data, a study shows employers are still struggling to create better health plans.