Susan Morse

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Hospital-based end-stage renal disease facilities get 3.7% increase in proposed rule

Total 2023 payments to all end-stage renal disease facilities would increase 3.1%, compared with 2022, under the End-Stage Renal Disease Prospective Payment System proposed rule that the Centers for Medicare and Med

Supreme Court rules against DaVita and in favor of health plan

In a 7-2 decision, the Supreme Court has sided with a health plan over its coverage for outpatient dialysis services.
Major dialysis service provider DaVita had sued the Marietta Memorial Hospital Employee Health Benefit Plan claiming its limited cover…

Home health agency payments in 2023 decrease by 4.2%, or $810 million, under proposed rule

The Centers for Medicare and Medicaid Services estimates that Medicare payments to home health agencies in 2023 would decrease in the aggregate by 4.2%, or $810 million, compared to 2022, in its 2023 Home Health Prospective Payment System Rate Update

Hospital mergers in Utah and New Jersey called off after FTC files complaints

HCA Healthcare and Steward Health Care System in Utah have abandoned plans to merge following a move by the Federal Trade Commission to block the deal.
The announcement – made by the FTC – comes two days after RWJBarnabas Health in New Jersey announced…

Anthem relaunches Wellpoint and announces Carelon ahead of rebrand

Anthem is relaunching its Wellpoint brand to unify its Medicare, Medicaid, and commercial health plans in select markets.

Supreme Court rules in favor of hospitals in 340B lawsuit

The Supreme Court on Wednesday handed up a ruling in favor of hospitals’ claims to 340B drug reimbursement, but left questions for providers as to how they will be made whole for the two years they didn’t receive billions from the Department of Health …

American Hospital Association urges Congress to stop July 1 Medicare sequester cuts

The American Hospital Association is urging Congress to prevent the Medicare sequester cuts to hospitals that are scheduled to go into effect on July 1.
 

Physicians would rather leave than work for Envision, doctor says

Physicians at Corona Regional Medical Center and Temecula Valley Hospital in California have threatened to leave the hospitals if for-profit owner Universal Health Services changes the staffing management firm to Envision Healthcare, according to an em…

HHS offering $1 million to strengthen link between primary care and health equity

The Department of Health and Human Services, through the Health Resources and Services Administration, is launching the Building Bridges to Better Health: A Primary Health Care Challenge.

American Medical Association applauds bipartisan gun deal

The American Medical Association is praising a bipartisan gun proposal that would give grants to states for red flag laws, provide spending for mental health treatment and school security and give extra scrutiny for gun buyers under the age of 21, acco…