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CMS denies Humana’s Medicare Advantage star ratings appeal
The Centers for Medicare and Medicaid Services has rejected an appeal from Humana to improve the latter’s Medicare Advantage star ratings, which could cost the insurer significant revenue in 2026.
On April 15, Humana and American for Beneficiary Choice…
AdventHealth to begin construction on new $43.2 million cancer institute
Construction will soon begin on the AdventHealth Cancer Institute at Winter Garden, a $43.2 million investment from AdventHealth designed as a response to the growing demand for cancer care in the West Orange and South Lake counties of Florida.
Physician pay rises, but attitudes about compensation are declining
Average pay for physicians rose 3.6% during 2024, a new Medscape report has found, but it’s one of the lower raises since the company began tracking physician compensation in 2011, and the overall sentiment among physicians regarding fair compensation …
Ascension Saint Thomas, PathPoint partner on metabolic health
Tennessee-based health system Ascension Saint Thomas is entering into a joint venture with PathPoint Health, a metabolic care provider, to help individuals prevent and manage metabolic conditions, including diabetes and obesity.
Inpatient psychiatric facilities get 2.4% increase in proposed rule
Psychiatric facilities will get a 2.4% increase under the Centers for Medicare and Medicaid Services’ proposed rule for the inpatient psychiatric facility prospective payment system for fiscal year 2026.
CMS proposing 2.4% increase for hospice care
A proposed rule from the Centers for Medicare and Medicaid Services seeks to increase the hospice payment rate by 2.4% – an estimated increase of $695 million in payments from fiscal year 2025.
CMS proposes 2.8% skilled nursing facility payment bump
The Centers for Medicare and Medicaid Services is making updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year 2026.
CareSource finalizes Commonwealth Care Alliance Acquisition
Nonprofit managed care organization CareSource has finalized its acquisition of Commonwealth Care Alliance (CCA), a nonprofit healthcare services organization that offers health plans and care delivery programs designed for people with pressing health …
CMS signals cutting future Medicaid demonstration programs
The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to “mounting expenditures,” such as housekeeping for non-Medicaid-eligible individuals, and high-speed internet for ru…
Northwell, Nuvance receive final merger approval
Northwell Health and Nuvance Health’s roughly $18 billion proposed merger, which has been in the works since last year, has received final regulatory approval from the Connecticut Office of Health Strategy, the organizations announced this week.
