Category: Healthcare Finance News

Medical groups push for end to yearly payment cuts

The Centers for Medicare and Medicaid Services has finalized the proposed 2.8% payment cut for physicians in its 2025 Medicare Physician Fee Schedule final rule.

CMS gives renal dialysis facilities a 2.7% increase

Among a spate of final rules issued by the Centers for Medicare and Medicaid Services is one updating payment rates and policies under the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for renal dialysis services furnished to Medicare…

AHA criticizes 2.9% increase in CMS’ OPPS final rule

The American Hospital Association has criticized the Centers for Medicare and Medicaid Services for its Hospital Outpatient Prospective Payment System (OPPS) final rule, saying the increase for outpatient hospital services doesn’t go far enough.
CMS is…

Majority of cyberattacks are through third-party vendors

WASHINGTON, D.C. – The vast majority of cybersecurity risks and breaches are from third-party vendors and other organizations, said experts John Riggi and Richard Staynings during the closing keynote of the HIMSS Healthcare Cybersecurity Forum on Friday.

Aetna offering new ‘transparent’ health plan

Aetna, part of CVS Health, has rolled out SimplePay Health, an alternative health plan that aims to simplify the member experience.
The plan, for self-insured clients, is intended to further reduce costs and improve outcomes and features a payment mode…

HIMSSCast: Prior authorization as gatekeeper

Prior authorization does not work for patients, providers or even payers, according to Peter Ax, founder and CEO of UpScriptHealth.
The intention of prior authorization is to make an efficient use of health resources, Ax said. It has not worked.
“Prior…

Teladoc posts $640.5 million in revenue, stresses virtual care improvement

Teladoc Health put in a stronger-than-expected showing in the third quarter, bringing in $640.5 million in revenue, down 3% year-over-year (YOY), according to the company’s earnings results.

Steward Medical sold to Rural Healthcare Group 

Steward Medical Group and Steward Health Care Network have been sold to Rural Healthcare Group and have been rebranded as Revere Medical.

MSSP yielded $2.1 billion in net savings in 2023, CMS says

The Medicare Shared Savings Program (MSSP) yielded more than $2.1 billion in net savings in 2023 – the largest savings in the program’s history, according to the Centers for Medicare and Medicaid Services.

Bill would give physicians a pay increase, block Medicare cuts

A bipartisan bill introduced in the House would stop Medicare payment cuts from taking effect in January and give physicians a pay increase.
The Medicare Patient Access and Practice Stabilization Act, introduced on Tuesday, would provide a 4.7% payment…