Susan Morse

Author's posts

CMS’s own study appears to question proposed staffing standards

On September 1, the Centers for Medicare and Medicaid Services proposed minimum nursing standards for nursing homes, days Kaiser Health News published a study commissioned by CMS that said there was “no single staffing level that would guarantee qualit…

CMS announces all-payer model for states

The Centers for Medicare and Medicaid Services has released the voluntary States Advancing All-Payer Health Equity Approaches and Development Model in which participating hospitals would receive a fixed payment amount in advance of a prospectively set …

Eliquis, Jardiance and Xarelto lead CMS list of drugs subject to negotiation

The Centers for Medicare and Medicaid Services has released the names of 10 drugs that will be subject to federal price negotiation in the Medicare program. 
The selected drug list for the first round of negotiation is:

AI is changing healthcare operations and where investment is going

AI has become the focus of investing for Santé, a healthtech and medtech venture capital firm that manages over $800 million of capital for healthcare and technology startups.
Santé works with companies that sell AI directly to hospitals and also direc…

Medicare Shared Savings saved Medicare $1.8 billion in 2022 

The Medicare Shared Savings Program saved Medicare $1.8 billion in 2022 compared to spending targets for that year, the Centers for Medicare and Medicaid Services has announced.
This represents the second-highest annual savings accrued for Medicare sin…

UnitedHealth pays $80,000 to settle HIPAA allegations 

The Office for Civil Rights has announced a settlement with UnitedHealthcare over a potential violation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule’s right of access provision. 
The rule requires that patients be abl…

Over $1.4 billion awarded for COVID-19 vaccine clinical trials and therapeutics

The federal government is releasing $1.4 billion to support clinical trials, coronavirus antibodies and what the Department of Health and Human Services is calling transformative technologies to fight COVID-19. 

Industry awaits names of 10 drugs subject to federal price negotiation

On or before September 1, the Centers for Medicare and Medicaid Services will release the names of the 10 Part D drugs subject to negotiated prices in Medicare starting in 2026.

Medicare beneficiaries get prescription payment plan under new draft guidance

The Centers for Medicare and Medicaid Services has released draft guidance that would allow Medicare beneficiaries to pay for prescription drug coverage in monthly payments spread out over a year.

Allina’s medical billing practices under investigation by Minnesota AG’s office

The Minnesota Attorney General’s office has announced an investigation into Allina Health’s billing practices.