Susan Morse

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Inpatient payment increase not enough, AHA says

The Centers for Medicare and Medicaid Services’ increase in the inpatient payment rate for 2023 is welcome but not enough to offset expenses, according to the American Hospital Association.

Antitrust trial to bar UnitedHealth Group and Change merger begins

The bench trial in the Department of Justice’s lawsuit against UnitedHealth Group and its efforts to acquire Change Healthcare began Monday in federal court and is expected to last 12 days.
The court battle pits the antitrust stance of the DOJ and the …

Hospitals get 4.3% increase in inpatient payment rates in CMS final rule 

The Inpatient Prospective Payment System final rule released late today increases hospital operating payment rates by 4.3%. 

Skilled nursing facility final payment rates updated to reflect impact of COVID-19

Skilled nursing facilities are getting a 2.7% payment rate increase for 2023, and a recalibration of a 4.6% pay decrease proposed in April.
Skilled nursing facilities are getting a market basket increase of 3.9%, the agency’s highest market basket upda…

Premium for Medicare Part D to drop in 2023

The basic monthly premium for standard Medicare Part D coverage is decreasing in 2023, the Centers for Medicare and Medicaid Services announced today.
The average premium for drug coverage will be approximately $31.50 in 2023, compared to $32.08 in 202…

HHS emphasizes commitment to enforcing birth control coverage

The U.S. Department of Health and Human Services and the Departments of Labor and Treasury are taking action to clarify protections for birth control coverage under the Affordable Care Act. 
The departments have issued guidance on access to emergency c…

See the list: 429 hospitals earn 5-star rating

Of 3,093 hospitals rated, 429 earned 5 stars in the Centers for Medicare and Medicaid Services 5-star rating system.
This compares to an estimated 455 hospitals when the previous ratings were last released in April 2021.
In the latest ranking, many lar…

House passes bill extending telehealth waivers through 2024

The House passed a bill on Wednesday that extends telehealth flexibilities under Medicare that were initially authorized during the public health emergency of COVID-19.
The House of Representatives passed H.R. 4040, Advancing Telehealth Beyond COVID-19…

Final rules on hospice, inpatient psychiatric and rehab increase payment above proposals

The Centers for Medicare and Medicaid Services has finalized three rules for hospice care, inpatient psychiatric facilities and inpatient rehabilitation facilities.
WHY THIS MATTERS: PAYMENT INCREASES
Hospices
The 2023 hospice payment update is 3.8%, w…

Senate and House members urge CMS to increase inpatient hospital payment

Ahead of the Centers for Medicare and Medicaid Services releasing the final rule on inpatient payment, House and Senate members are urging CMS to increase the rate hospitals will be paid.