Category: Healthcare Finance News

Most Medicare beneficiaries worried about inflation’s effect on healthcare costs

A full 95% of Medicare beneficiaries are worried about the impact of inflation on healthcare costs. And nearly half of the 2,500 beneficiaries recently surveyed by eHealth say their healthcare costs have already increased due to inflation.

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.

CMS offers guidance to help connect children to Medicaid services

The U.S. Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has released guidance on a new Medicaid health home benefit for children with medically complex conditions.

Optum, Sanofi partner on low-cost insulin for the uninsured

Optum is partnering with pharmaceutical company Sanofi to make insulin available and affordable for uninsured people.
The UnitedHealth Group subsidiary is working with the drugmaker to offer a 30-day supply of commonly used insulins for $35 through its…

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%. 

Operating margins up but still in the red as expenses soar

Hospital operating margins were up slightly from May to June, but were still negative overall due to still-soaring expenses, according to the latest Flash Report from Kaufman Hall.
Margins were still significantly lower than pre-pandemic levels, and ev…

New York AG sues CVS over 340B discounts for safety net hospitals

New York Attorney General Letitia James has filed suit against CVS Health, saying the former violated antitrust laws and prevented safety net hospitals from receiving millions in 340B discounts.

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…