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Final rule increases proposed payments to inpatient rehab and psychiatric facilities
The Centers for Medicare and Medicaid Services has issued final rules updating inpatient rehabilitation and psychiatric facility payments that are higher than what was proposed in April.
483, or 15% of hospitals earn 5-stars in latest CMS ratings
In the latest Centers for Medicare and Medicaid Services hospital star rating system, 483 received the highest ranking of 5 stars.
This compares to 429 hospitals that received 5 stars in 2022.
More than 75% of the 4,654 hospitals in the Care Compare Da…
More than 3.6 million people disenrolled from Medicaid
At least 3.6 million Medicaid enrollees have been disenrolled as of July 24, according to KFF data from 37 states and the District of Columbia.
Cigna sued for using algorithms to allegedly deny claims
Cigna is being sued for using algorithms to allegedly deny claims.
The lawsuit, filed Monday in federal court in California, claims Cigna developed an algorithm known as PXDX to enable its doctors to automatically deny payments in batches of hundreds o…
Draft merger guidelines will influence how DOJ and FTC conduct reviews
The U.S. Department of Justice and the Federal Trade Commission have released draft guidelines that tighten the review of mergers and acquisitions.
Cash shortages plague hospitals but there’s signs of improvement ahead
Many hospitals are facing a cash shortage brought on by labor costs, inflation and the continued struggle to recover financially from the pandemic.
Literally three times a day, Plante Moran’s Duane Fitch said he hears from healthcare systems that are o…
Hospitals to get $9 billion in proposed remedy to 340B ruling
Hospitals in the 340B program will get $9 billion under a proposed rule to make them whole in a lump sum payment, according to the Centers for Medicare and Medicaid Services.
Medicare broadens coverage of FDA-approved Alzheimer’s treatment
Broader Medicare coverage is now available for Biogen and Eisai’s Leqembi, the brand name for lecanemab, following the Food and Drug Administration’s move to grant traditional approval to the drug that treats individuals with Alzheimer’s disease.
HIMSSCast: Embrace technology to replace the mundane tasks
Mike Alkire, president and CEO of Premier often advises health system executives. In fact, Alkire and the group purchasing organization advise an estimated 4,400 health systems and 250,000 providers in the United States.
“If I were running a healthcare…
The transactional revenue cycle no longer works: Here’s what does
NASHVILLE – Transactional revenue cycle no longer works with patients, especially millennials, said finance experts speaking during the HFMA conference in Nashville.
It used to be, do the service and then bill, said Bob Stearns, director of Patient Acc…
