Author's posts
CMS is testing an alternative payment model for dementia services
The Centers for Medicare and Medicaid Services is testing an alternative payment model for providers who deliver supportive services to people with dementia. This includes comprehensive, person-centered assessments and care plans, care coordination, an…
Steps hospitals can take to protect medical devices from cyberattcks
Mark Bowling, chief risk, security, and information security officer at ExtraHop, has years of cybersecurity experience as a former Former FBI field executive, a nuclear engineering officer with the Navy and in various CISO roles. He knows the ins and …
HCA’s Sam Hazen addresses class action lawsuit from data breach
HCA Healthcare CEO Sam Hazen addressed what he called the “multiple class action lawsuits” against the healthcare system due to a recent data breach.
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.
