Author's posts
CMS proposes 2.6% payment increase for hospices
Hospice providers get a 2.6% increase in 2025 the proposed rule released by the Centers for Medicare and Medicaid Services.
This represents an estimated increase of $705 million in payments from 2024.
The increase results from the 3% market basket per…
HIMSSCast: Direct contracting streamlines prior authorization
Jaja Okigwe is CEO of First Choice Health, headquartered in Seattle. The company is a benefits administration business that has one of the largest direct-contracted networks in the Upper West with nearly 1 million members in its network.
It’s a provid…
Proposed rule gives skilled nursing facilities a 4.1% increase
Skilled nursing facilities get a 4.1% payment increase for 2025, according to a proposed rule released by the Centers for Medicare and Medicaid Services under the Skilled Nursing Facility
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…
