Category: Healthcare Finance News

Optum levying strict measures on Change outage loan repayment, AMA says

The American Medical Association is urging Optum to stop its approach for recouping Change Healthcare cyberattack-related loans and to suspend all claim filing deadlines associated with the resulting outage.

CMS seeks public input on inpatient hospital whole-person care

In addition to setting payment rates for inpatient and long-term care, Friday’s proposed rule would update quality measures, promote interoperability programs and reduce private expenditures to comply with federal regulations.

CMS proposing 2.4% increase for hospice care

A proposed rule from the Centers for Medicare and Medicaid Services seeks to increase the hospice payment rate by 2.4% – an estimated increase of $695 million in payments from fiscal year 2025.

Hospitals get a 2.4% payment increase in proposed rule

Hospitals are getting a 2.4% payment increase in the Centers for Medicare and Medicaid Services’ 2026 Hospital Inpatient Prospective Payment System proposed rule.

CMS proposes 2.8% skilled nursing facility payment bump

The Centers for Medicare and Medicaid Services is making updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year 2026.

HIMSSCast: ‘How do we grow again?’

Upfront by Health Catalyst recently collaborated with Hartford Healthcare in Connecticut to integrate a tech-enabled patient engagement program for the seven hospital system.

CareSource finalizes Commonwealth Care Alliance Acquisition

Nonprofit managed care organization CareSource has finalized its acquisition of Commonwealth Care Alliance (CCA), a nonprofit healthcare services organization that offers health plans and care delivery programs designed for people with pressing health …

CMS signals cutting future Medicaid demonstration programs

The Centers for Medicare and Medicaid Services has signaled plans to make cuts to the Medicaid program, saying it wants to put an end to “mounting expenditures,” such as housekeeping for non-Medicaid-eligible individuals, and high-speed internet for ru…

Many payers, providers unprepared for interoperability and prior authorization rule, WEDI finds

More than half of providers and 43% of payers have yet to start work on the application programming interface requirements of the interoperability and prior authorization final rule, according to a survey by the Workgroup for Electronic Data Interchange.

Northwell, Nuvance receive final merger approval

Northwell Health and Nuvance Health’s roughly $18 billion proposed merger, which has been in the works since last year, has received final regulatory approval from the Connecticut Office of Health Strategy, the organizations announced this week.