Susan Morse

Author's posts

CMS releases three initiatives to grow Medicare ACO participation

To advance its goal of having 100% of people in traditional Medicare in an accountable care relationship in seven years, the Centers for Medicare and Medicaid Services has announced three initiatives in the Medicare Shared Savings Program and the ACO R…

Current prior authorization practices are adding to burnout, surgeon general says

The Centers for Medicare and Medicaid Services outlined changes that will be made to speed up and align the prior authorization process across all payers, during a press call on Tuesday.

Hospitals need a battle plan for end of Medicaid’s continuous coverage

Up to 18 million Medicaid beneficiaries are projected to lose coverage when states begin the redetermination process for coverage starting on April 1 and after the current and likely last public health emergency ends on April 11. 

Hospitals disappointed by court decision leaving 340B repayment to HHS

On Tuesday, a federal court ruled that the Department of Health and Human Services can propose the appropriate remedy for underpaying hospitals in t

HHS will begin negotiating 10 Part D drug prices this year 

Starting this year, the Department of Health and Human Services will begin negotiations with drug companies to lower the price of Part D drugs in Medicare, according to HHS Secretary Xavier Becerra.
The 10 Part D drugs that will be negotiated will be p…

HHS extends public health emergency for 12th time

Three years after the federal government announced the first public health emergency due to COVID-19, Health and Human Services Secretary Xavier Becerra has again extended the PHE.
Becerra announced the extension Wednesday morning.
This is the 12th tim…

Amazon Business offers hospitals a supply chain alternative

Ochsner Health System’s supply chain partnership with Amazon Business has allowed the New Orleans-based health system to have financially stable pricing on non-medical purchases.

HIMSSCast: To cut expenses, hospitals should look at indirect spend

Hospitals are looking to cut expenses in the midst of financial pressure from inflation, workforce costs and other challenges to already thin margins.
LogicSource CEO and founder David Pennino and Healthcare Managing Partner Brian White, who work with …

FDA rejects petitions on use of abortion pill mifepristone

The Food and Drug Administration has rejected two petitions on the use of the abortion pill mifepristone.

CMS releases new Medicaid guidance for states to tackle unmet social needs

The Centers for Medicare and Medicaid Services has released new guidance for states to address health-related social needs for Medicaid beneficiaries.
This is being done through the use of “in lieu of services and settings” in Medicaid managed care.