Susan Morse

Author's posts

Inpatient rehab facilities get a 2.8% proposed increase for 2025

Inpatient rehabilitation facilities get a payment rate increase of 2.8% for 2025 in a proposed rule released late Wednesday.
The amount is  based on a proposed market basket update of 3.2%, less a proposed 0.4% point productivity adjustment.

HHS overturns Trump’s extended short-term plan coverage

The Department of Health and Human Services, joined by other departments, are cracking down on what they call junk insurance plans, in a final rule released today.

Optum Care to buy physician group from troubled Steward Health Care

Troubled Steward Health Care in Massachusetts has a deal to sell its physician group to Optum Care, according to a statement from Sen. Edward J. Markey D-Mass. 

CMS final rules standardizes Medicaid enrollment and renewal 

The Centers for Medicare and Medicaid Services has released a final rule to standardize the Medicaid enrollment and renewal process nationwide.
Currently, each state is responsible for operating its own Medicaid program within federal requirements. Thi…

Supreme Court hears arguments today on mifepristone

The Supreme Court is hearing oral arguments today in a case challenging access to the abortion pill mifepristone.
The Biden administration and drug manufacturer are asking SCOTUS to reverse a lower appeals court’s decision to block changes made in 2016…

Cybersecurity bill would add caveat to provider payments

Sen. Mark R. Warner (D-VA) on Friday introduced legislation to allow the Department of Health and Human Services to speed up provider reimbursement called advance and accelerated payments when hospitals and physicians are affected by cyberattacks.

AI can increase the success rate of pregnancy

In vitro fertilization is the most important technology invented in the last 50 years, according to Daniella Gilboa, CEO of Israeli company AIVF.  But saying that isn’t good enough, she said. Success rates aren’t high enough. The time to pregnancy is t…

Walgreens sells 11 VillageMD clinics to Arches Medical Partners 

Walgreens has sold 11 VillageMD clinics in Rhode Island to Arches Medical Partners, a Boston-based medical group management company.
Terms of the transaction remain private, Arches said. 
WHY THIS MATTERS
Walgreens has been unloading VillageMD primary …

Congress needs to to take action to help hospitals, AHA says

The American Hospital Association is urging Congress to address any statutory constraints that prevent the Centers for Medicare and Medicaid Services and Department of Health and Human Services from adequately helping hospitals and other healthcare pro…

New ACO model provides alternative for physicians to stay independent

Accountable Care Organization stakeholders are applauding the capitation payments in the new ACO Primary Care Flex Model but lament that it leaves out high-revenue ACOs.