The Centers for Medicaid and Medicare Services this week released a report on complaints and enforcement efforts concerning the Public Health Service Act, which includes the No Surprises Act.
Category: Healthcare Finance News
Medicare Advantage growth could be challenging for hospitals
The Medicare Advantage program recently achieved the milestone of covering more than half of all Medicare beneficiaries, but according to a report from S&P Global Ratings, this could have an adverse impact on hospital margins.
Kaiser partners with Abridge on AI-enabled clinical documentation
Kaiser Permanente’s Dr. Daniel Yang, who is vice president of artificial intelligence and emerging technologies, told The Wall Street Journal in an interview published yesterday that he wouldn’t feel comfortable using AI to automate clinical decision m…
Texas sues over nursing home staffing rule
Texas Attorney General Ken Paxton has sued the Biden Administration to stop a new Centers for Medicare and Medicaid Services final rule that requires nursing home staffing standards.
Consumers more satisfied with Medicare Advantage than commercial plans
Even as the hospitals and health systems continue to battle with Medicare Advantage programs over reimbursement rates, customer satisfaction with MA plans is significantly higher than with commercial member health plans, according to the J.D. Power 202…
ACO REACH changes more negative than positive, says participant
Changes announced to ACO REACH model for 2025 and 2026 will disincentivize providers from achieving meaningful improvements across the quintuple aim, according to Gary Jacobs, executive director at VillageMD’s Center for Public Policy.
Walgreens, BARDA team to strengthen clinical trials
Walgreens is partnering with the Biomedical Advanced Research and Development Authority (BARDA) – part of the Administration for Strategic Preparedness and Response in the Department of Health and Human Services – to increase innovation in decentralize…
Employer health costs projected to rise 9%
The average cost of employer-sponsored healthcare coverage in the U.S. is expected to increase 9% next year, surpassing $16,000 per employee in 2025, according to a new Aon report.
This projected increase, which assumes employers do not implement emplo…
Humana to pay $90 million to settle allegedly fraudulent Part D bids
Insurer Humana has said it will pay $90 million to resolve a False Claims Act case alleging that the company submitted fraudulent bids to the Centers for Medicare and Medicaid Services to secure Part D prescription drug contracts between 2011 and 2017….
AdventHealth to take over management of St. Luke’s in North Carolina
AdventHealth, headquartered in Florida, has signed a definitive agreement to assume management of St. Luke’s Hospital in Columbus, North Carolina.
St. Luke’s is a critical access hospital serving the Western Carolinas. The agreement also includes seve…
