Category: Healthcare Finance News

CMS only collected half of $498 million in Medicare overpayments, OIG found

The Centers for Medicare and Medicaid Services has collected just little more than half of $498 million in Medicare overpayments identified in eight-year-old audits, according to Health and Human Services’ Office of the Inspector general.

CMS seeking feedback to improve Medicare Advantage

The Centers for Medicare and Medicaid Services is looking for ways to make Medicare Advantage better. The agency has released a Request for Information seeking public comment on the popular offering, and is seeking input on ways to make it more equitab…

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…

Healthcare spending declines for first time since 1960

Adjusted for inflation, healthcare spending in the U.S. declined for the first time in more than half a century in 2021, according to a new report from Altarum. 
The first time the Centers for Medicare and Medicaid Services officially tracked health sp…

House committee advances bill reforming MA prior authorizations

The House Ways and Means Committee on Wednesday convened a markup session regarding a bipartisan bill, “Improving Seniors’ Timely Access to Care Act of 2022,” which seeks to modernize the way Medicare Advantage plans and healthcare providers use prior …

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…

Humana reorganizing, paring down to two main units

In a move meant to simplify its organizational structure, Humana will pare itself down into two main units, Insurance Services and CenterWell, while launching an executive search for president of insurance and enterprise services.

CMS releases maternity care plan, extends Medicaid and CHIP coverage

As part of the Biden Administration’s bid to improve health outcomes and reduce disparities for people during and after pregnancy and childbirth, the Centers for Medicare and Medicaid Services has announced a Maternity Care Action Plan – saying it will…