Author's posts
Trump’s executive order on drugs seeks to end pharma ‘pill penalty’
President Trump has signed an executive order on prescription drug prices that walks back the “pill penalty” decried by PhRMA in President Biden’s Inflation Reduction Act.
Inpatient rehabs receive proposed 2.6% payment increase
The Centers for Medicare and Medicaid Services has proposed a 2.6% payment rate increase for inpatient rehabilitation facilities in 2026.
The 2.6% is based on a market basket update of 3.4%, less a proposed 0.8 percentage point productivity adjustment,…
Optum levying strict measures on Change outage loan repayment, AMA says
The American Medical Association is urging Optum to stop its approach for recouping Change Healthcare cyberattack-related loans and to suspend all claim filing deadlines associated with the resulting outage.
CMS seeks public input on inpatient hospital whole-person care
In addition to setting payment rates for inpatient and long-term care, Friday’s proposed rule would update quality measures, promote interoperability programs and reduce private expenditures to comply with federal regulations.
Hospitals get a 2.4% payment increase in proposed rule
Hospitals are getting a 2.4% payment increase in the Centers for Medicare and Medicaid Services’ 2026 Hospital Inpatient Prospective Payment System proposed rule.
HIMSSCast: ‘How do we grow again?’
Upfront by Health Catalyst recently collaborated with Hartford Healthcare in Connecticut to integrate a tech-enabled patient engagement program for the seven hospital system.
Many payers, providers unprepared for interoperability and prior authorization rule, WEDI finds
More than half of providers and 43% of payers have yet to start work on the application programming interface requirements of the interoperability and prior authorization final rule, according to a survey by the Workgroup for Electronic Data Interchange.
Nursing home staffing mandate struck down in Texas court ruling
A federal judge in Texas has blocked a nursing home staffing rule mandated by the Biden administration last year.
Medicare Advantage plans get a 5% payment increase
Medicare Advantage plans are getting a 5% payment increase, which is above the anticipated 4.3% released in the Advance Notice.
The Centers for Medicare and Medicaid Services issued the rate announcement this week as part of the Medicare Advantage Part…
RFK Jr. will reportedly not appear before Senate subcommittee
The chairman and the ranking member of a Senate subcommittee have asked Health and Human Services Secretary Robert F. Kennedy Jr. to participate in a hearing on the reorganization of HHS, but Kennedy, reportedly, will not appear.
