The CMS found Medicare Advantage plans’ provider directories have widespread inaccuracies for the third year in a row, which could lead to fines for the insurers.
About 55% of hospitals earned Medicare incentive payments in 2019 under the Hospital Value-based Purchasing Program, slightly fewer than in fiscal 2018 when 57% of the hospitals did, or just under 1,600.
The CMS will update star ratings for Hospital Compare in February after a 14-month delay to resolve issues with the model, but the agency did not address some of critics’ biggest concerns.
Moody’s maintained its negative outlook on the not-for-profit hospital sector as weak volume trends, reimbursement compression, more Medicare patients and growing bad-debt loads will limit revenue growth.
Telemedicine is being underused by providers in substance use disorder treatment, and expanding its reach could allow millions more people to score access to treatment, according to a new analysis.