Category Archive: Healthcare Finance News

Voluntary participation in bundled payments will continue after CMS cancels mandatory initiatives, experts say

Providers await new voluntary models expected to soon be released.

Registered nurse convicted in $20 million home healthcare fraud scheme involving two agencies

Nurse participated in Medicare fraud scheme where government was billed for home health services that weren’t provided, needed.

CMS cancels mandatory episode payment models, cuts participation in joint replacement model

The episode payment models and the cardiac rehab incentive models were designed as mandatory payment models to test the effects of bundling cardiac and orthopedic care beginning in 2018.

Federal deficit will soar to $194 billion, premiums spike 20% if Trump nixes cost-sharing subsidies, CBO report says(updated)

Number of people uninsured would be slightly higher in 2018 but slightly lower starting in 2020, report also says.

HHS supports Affordable Care Act waivers to shore up Medicaid, reduce premiums

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The Medicaid waiver is credit positive for Florida’s not-for-profit and public hospitals because it helps them defray uncompensated care costs, Moody’s says.

Attitudes towards single payer healthcare are evolving, Merritt Hawkins survey shows

Survey was sent to 70,000 physicians via email in early August, and 1,033 physicians responded.

Los Angeles’ Pacific Alliance Medical Center potentially breached by ransomware attack

Medical Center’s servers were hit by a ransomware attack in June; officials said investigation couldn’t rule out whether patient data was accessed.

Report: Aetna in secret talks with Apple about giving members Apple Watches

Aetna and Apple are in discussions about the smartwatch, which is evolving toward monitoring chronic diseases, according to one media outlet.

Trump administration, HHS stepping away from Affordable Care Act promotion, bundled payments

The new bundled payment model for cardiac care coordination and cardiac rehabilitation may be on the chopping block, along with unspecified changes to the joint replacement model, according to a proposed rule published August 10 in the Office of Manage…

CMS extends ACA premium rate filing deadline due to change in CSR risk adjustment methodology

CMS is modifying the risk adjustment methodology for states where insurers have increased their silver metal plan rates based on an end to cost-sharing reduction payments.

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