Susan Morse

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MGMA: What stays, what ends on May 11

MGMA, the Medical Group Management Association, held a meeting Monday to explain to physicians and others what public health emergency waivers stay and which ones go at the end of the PHE. 
Both the public health emergency and the national emergency, w…

DOJ to appeal Texas court ruling on mifepristone

Attorney General Merrick B. Garland said Friday that the Department of Justice would appeal the Texas court decision banning the use of mifepristone nationwide.
Garland said by statement, “The Justice Department strongly disagrees with the decision of …

HIMSSCast: Recent breakthroughs in ICU dementia risk are leading the way to solving clinical alarm fatigue

Ophir Ronen, CEO of CalmWave is looking to solve the problem of alarm fatigue in the ICU, by building predictive models. 
An estimated 771 alarms per bed, per day were measured at peak at John Hopkins and other locations, according to Ronen. This is un…

Oak Street Health and Interwell launch OakWell to provide primary care in dialysis centers

Oak Street Health, a network of value-based primary care centers based in Medicare, and kidney management company Interwell Health have announced the launch of OakWell, a joint venture to offer primary care to end-stage kidney disease patients directly…

DOJ appeals Texas court decision blocking preventive care coverage

The Department of Justice has appealed a decision by a Texas court to block preventive care covered under the Affordable Care Act for HIV, reproductive health and other interventions.
The appeal was filed on March 31 in the United States District Court…

Inpatient psychiatric facilities get an estimated 1.9% payment increase in 2024

Inpatient psychiatric facility payments are estimated to increase by 1.9%, or $55 million, in 2024 relative to 2023, in the Inpatient Psychiatric Facility Prospective Payment System proposed rule released by the

CMS proposes to increase inpatient rehab facility payments by 3%

The Centers for Medicare and Medicaid Services has issued an annual update to the Medicare payment policies and rates for inpatient rehabilitation facilities. 

Stakeholders support CMS’ plan to phase in risk adjustment over 3 years

Health insurers and stakeholders have expressed support for the Centers for Medicare and Medicaid Services’ plan to phase in changes to the risk adjustment model over three years, in the 2024 Medicare Advantage Program and Part D Payment Policies relea…

Medicare Advantage plans get a 3.32% increase in final payment rates

The Centers for Medicare and Medicaid Services anticipates a payment increase for Medicare Advantage plans of 3.32% from 2023 to 2024, which is approximately a $13.8 billion increase in MA payments for next year, according to the 2024 Medicare Advantag…

Texas court blocks preventative care coverage for HIV, reproductive health

Providers and payers are speaking out against a Texas court decision yesterday that blocks preventative care coverage, including for HIV, cancer, and a range of reproductive health interventions, mandated in the Affordable Care Act.