Susan Morse

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CMS announces lower premiums for Medicare Advantage plans in 2023

People with Medicare will see lower premiums for Medicare Advantage and Medicare Part D prescription drug plans in 2023. 
The projected average premium for 2023 Medicare Advantage plans is $18 per month, a decline of nearly 8% from the 2022 average pre…

340B hospitals to get full drug reimbursement for 2022, court orders

The Department of Health and Human Services must immediately stop the 30% drug reimbursement cuts to hospitals in the 340B program, a federal judge has ruled.

Providers ask HHS to extend information blocking deadline for a year

Ten hospital and physician groups have asked Health and Human Services Secretary Xavier Becerra to extend the October 6 information blocking deadline for one year.

Social factors need to be factored into risk adjustment to advance health equity

Improving health equity requires changes to risk adjustment, physicians said Tuesday.
Current risk adjustment underestimates the total cost of care of patients who have comorbidities and socially complex issues, said physicians who spoke Tuesday during…

CMS decreases Medicare Part B monthly premium and deductible

The Centers for Medicare and Medicaid Services has released the 2023 premiums, deductibles, and coinsurance amounts for fee-for-service Medicare Part A and Part B, and the 2023 Medicare Part D income-related monthly adjustment amounts.

CDC awards $90 million to tackle infectious disease threats

The Centers for Disease Control and Prevention has announced $90 million will be awarded over the next five years to five state public health departments to establish the Pathogen Genomics Centers of Excellence network. 

How Sentara Healthcare moved managed Medicaid into the community

Sentara Healthcare advanced its vision to reach vulnerable populations by moving care into the community.
Two months ago, the Norfolk, Virginia-based health system set up two neighborhood clinics – one within an emergency homeless shelter – and also we…

Centene settles Medicaid fraud claims with Texas for $165 million

Centene has settled with Texas for $165 million to resolve claims of Medicaid fraud by the Texas attorney general.
Centene made no admission of liability, and maintained that its business practices were lawful. 

AHA and AMA withdraw lawsuit over enactment of No Surprises Act

The AHA and American Medical Association have moved to dismiss their challenge to the federal government’s September 2021 interim final rule governing the No Surprises Act’s independent dispute resolution process.
 

HIMSSCast: Higher acuity patients are creating revenue challenges

The American Hospital Association in August reported that higher-acuity patients are causing unsustainable financial challenges for hospitals and health systems due to higher costs for labor, drug and supplies.