Category: Healthcare Finance News

Maryland puts $25M toward pediatric staffing as respiratory virus surges

The state of Maryland will be setting aside $25 million in state funding to hire and recruit pediatric intensive care unit staff. The funding is being made in response to a surge in respiratory syncytial virus (RSV), with more than 500 RSV-related hosp…

CMS issues final payment rules for home health, infusion and ESRD

On Monday, the Centers for Medicare and Medicaid Services issued the 2023 Home Health Prospective Payment System Rate Update final rule, which updates Medicare payment policies and rates for home health agencies.
CMS also released payments in final rul…

ACA open enrollment kicks off today

Health and Human Services Secretary Xavier Becerra touted the benefits of the Inflation Reduction Act, passed in August, in getting more people off the rolls of the uninsured and onto coverage through the Affordable Care Act.
HHS celebrated the 10-year…

Cigna enters value-based agreement with Heal in four states

Cigna has teamed with Heal in a value-based arrangement whereby the latter will be in-network for Cigna Medicare Advantage customers, providing in-home primary care for seniors, the insurer said last week.
The partnership will take root in four states …

Final Medicare rule aims to reduce gaps in coverage

A new final rule updates Medicare enrollment and eligibility rules as eligible individuals wade through their options during the open enrollment period.

Centene CEO releases plan for star rating turnaround in Q3 report

Medicare Advantage Star Ratings declined this year as predicted prior to their release on October 6, but Centene said this week that the results were slightly worse than expected.

Walmart planning expansion of 16 clinics in Florida in 2023

Walmart Health will be expanding its presence in Florida with 16 new health centers, the retailer announced this week, which are expected to be open by the fall of 2023.
The locations will span the metro areas of Jacksonville, Orlando and Tampa. Dr. Da…

Top Stories: HIMSS promotes telehealth policy during Global Health Equity Week; Cerebral lays off 20% of workforce

HIMSS is calling on healthcare stakeholders to get involved in two initiatives to help expand access to quality care for underserved and at-risk populations. What are they? We’ll answer that and more in this week’s Top Stories, including what led Cereb…

CMS cracks down on ‘misleading’ Medicare Advantage marketing

The Centers for Medicare and Medicaid Services has responded to complaints that recent Medicare Advantage advertisements and marketing materials have been “confusing, misleading or inaccurate,” at least in the minds of consumers.

Medical groups support No Surprises Act lawsuit 

Three physician groups are supporting a second lawsuit brought by the Texas Medical Association against the federal departments responsible for the No Surprises Act implementation.
The American Society of Anesthesiologists, the American College of Emer…