Susan Morse

Author's posts

CMS issues revised guidance for independent dispute resolution process

The Centers for Medicare and Medicaid Services has issued revised guidance for the independent dispute resolution (IDR) process that is part of the No Surprises Act implementation.

Northwell selects Epic to integrate its electronic health record

Northwell Health has announced an agreement with medical records software company Epic to implement the health system’s next generation electronic health record.
Northwell said the initiative is part of an ongoing digital transformation to 
provide an …

MedPAC recommendations on 2024 payment rates get mixed reaction

The Medicare Advisory Payment Commission recommends a higher-than-current-law fee-for-service payment update in 2024 for acute care hospitals and positive payment updates for clinicians paid under the physician fee schedule.

CMS releases guidance for Medicare Drug Price Negotiation Program that it expects to revise by summer

The Centers for Medicare and Medicaid Services on Wednesday released the parameters for the first year of prescription drug negotiations to lower prices in Medicare. 
The negotiations will affect only Medicare Part D for the first two years, for ten dr…

Novo Nordisk is the second drug company to lower the price of insulin

Danish pharmaceutical company Novo Nordisk has announced it is lowering the U.S. list prices of several insulin products by up to 75% for people living with Type 1 and type 2 diabetes. 
It becomes the second drugmaker to do so, following Eli Lilly’s an…

CMS announces 27 Part B drugs for which coinsurances may be lower starting April 1

The Centers for Medicare and Medicaid Services has announced 27 prescription drugs for which Part B beneficiary coinsurances may be lower starting April 1 through June 30. 
Lower Part B coinsurance will go into effect on April 1 and will be reviewed qu…

Healthcare and technology groups support proposed interoperability and prior authorization rule

Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services’ proposed rule to expand access to health information and improve the prior authorization process.

HIMSS Cast: About 40-50% of hospital patient balances go unpaid, says Cedar President Seth Cohen

The Hospital Price Transparency Final Rule that went into effect in 2021 does nothing to help patients who want to know what they’ll be paying out-of-pocket for services, according to Seth Cohen, president of patient billing experience company Cedar.

Healthcare leaders send joint letter supporting 2024 Advance Notice

Thirty-nine healthcare executives, public health and policy leaders, some with former ties to the Centers for Medicare and Medicaid Services, the CMS Innovation Center and the Medicare Payment Advisory Commission, have submitted a joint letter to the D…

At ATA, stakeholders get say over DEA proposed rule on remote prescribing 

At a special listening session this morning at American Telemedicine Association Annual Conference  & Expo, stakeholders were invited to voice their concerns over a controversial DEA proposed rule.