Susan Morse

Author's posts

Stakeholders have mixed reaction to CMS proposal to limit use of Alzheimer drug, Aduhelm

Reaction is mixed to the proposal by the Centers for Medicare and Medicaid Services to limit Medicare beneficiaries’ access to monoclonal antibody treatments that target amyloid for the treatment of Alzheimer’s, to those enrolled in qualifying clinical…

CMS proposes limiting Medicare coverage for the treatment of Alzheimer’s to clinical trials

The Centers for Medicare and Medicaid Services has released a proposed National Coverage Determination decision memorandum to cover Alzheimer’s treatment for people with Medicare, only if they are enrolled in clinical trials.

Becerra tells CMS to reassess 2022 Medicare Part B premiums

Health and Human Services Secretary Xavier Becerra has directed the Centers for Medicare and Medicaid Services to reassess its recommendations for a significant increase in 2022 Medicare Part B premiums, due to a drugmaker’s 50% price reduction.

R1 RCM to expand revenue cycle reach in acquisition of Cloudmed 

Technology company R1 RCM is acquiring Cloudmed in a further expansion of its reach into the revenue cycle management space.
The deal is expected to close in the second quarter of 2022.
It builds on R1’s previous acquisitions of VisitPay ($300M in 2021…

Supreme Court Justices grill on question of emergency order for vaccine mandates  

Supreme Court Justices grilled Scott Keller, who gave arguments this morning against the federal vaccine-or-testing mandate for large employers.
Keller, representing the National Federation of Independent Business, argued that the Occupational Safety a…

Castlight Health and Vera Whole Health announce merger 

Employers will participate in full risk sharing to scale value-based care in the commercial market.

Healthcare third largest sector hit by Great Resignation

The Great Resignation hit the healthcare sector hard in November, and the numbers are colliding now with a steep rise in the number of COVID-19 hospitalizations.

AbbVie imposes 340B pricing restrictions at community pharmacies

Drug company AbbVie has told safety-net hospitals it will stop offering 340B drug pricing program discounts on drugs dispensed at community-based pharmacies starting Feb. 1, if the hospitals do not agree to turn over patient claims data for those pharm…

AMA urges Supreme Court to uphold vaccination mandates

The American Medical Association has added its voice in support of mandatory COVID-19 vaccinations in an amicus brief to the Supreme Court filed on December 30.

Burnout and staffing shortages collided with COVID-19 in 2021 to create the perfect storm

Through the bad — workforce shortages, lost revenue — and the good — the rise of telehealth and hospital at home models — COVID-19 changed, and will continue to change, the way hospitals and providers strategize their business models and care for p…