Healthcare providers express cash flow concerns under new 340B rebate model
Editor's Note Healthcare providers could experience significant cash flow and operational changes under a new voluntary pilot program that fundamentally alters how the nation's second-largest drug payment program operates, according to an August 11 article in Modern Healthcare. As detailed in the article, The Health Resources and Services Administration announced…
Providers call for deeper reform despite CMS proposing payment hikes in 2026
Editor's Note CMS is boosting 2026 Medicare outpatient payments by 2.4%, but provider groups warn the increase barely scratches the surface of mounting financial strain. Alongside the payment bump, the agency is proposing a two-track physician reimbursement model that ties rates to value-based care participation. While some see these moves…
HHS launches organ transplant oversight initiative after patient safety failures
Editor's Note The Department of Health and Human Services (HHS) has launched a major initiative to reform the US organ transplant system following disturbing findings about organ procurement practices. Fierce Healthcare reported the news July 21. According to the article, the initiative was triggered by a directive from HHS to…
Keynote preview video: Healthcare's "Blockbuster moment" with Dr Dan Weberg
Editor's Note The nursing profession has an unprecedented opportunity to redesign systems, influence policy, and elevate care—but only if we can shift from traditional models to a future-focused mindset. That's the message of this exclusive preview of the 2025 OR Manager Conference opening keynote with Dan Weberg, PhD, MHI, RN,…
Inflation pushes health systems toward financial austerity
Editor's Note US hospitals and health systems are facing growing financial pressure as inflation drives costs faster than reimbursement can keep up, according to a July 10 article in Health Affairs. Although growing steadily, healthcare spending has been largely stable when measured as a percentage of gross domestic product…
Major insurers pledge prior authorization reform
Editor's Note Nearly 50 major US health insurers—including UnitedHealthcare, Aetna, Cigna, Elevance, and Humana—have pledged to reform prior authorization practices, with the goal of easing administrative burdens and improving access to care, according to a June 23 article in Healthcare Dive. As detailed in the article, the announcement came from…
CMS takeover of 340B looms as some health systems double down on drug discount strategy
Editor's Note The federal 340B Drug Pricing Program may soon shift from the Health Resources and Services Administration (HRSA) to the Centers for Medicare and Medicaid Services (CMS), a move that could bring tighter oversight and lasting consequences for safety-net providers, Modern Healthcare June 2 reports. The proposed transfer, part…
Healthcare leaders project revenue gains from value-based care despite persistent hurdles
Editor's Note Nearly two-thirds of healthcare organizations expect increased revenue from value-based care (VBC) arrangements in 2024, signaling growing confidence in the model despite concerns over financial risk and infrastructure gaps, according to a May 19 report in Healthcare Finance. The findings are based on a nationwide survey of 168…
FDA launches effort to identify, slash outdated healthcare regulations under 10-to-1 rule
Editor's Note The US Food and Drug Administration (FDA) and US Department of Health and Human Services (HHS) have launched a public Request for Information (RFI) to identify and eliminate outdated healthcare regulations, according to a May 13 press release from the FDA. The move supports a broader federal deregulatory…
Report: Global nurse shortage widens inequities, fuels migration risks
Editor's Note Wealthy nations continue to draw nurses from poorer countries, worsening fragile healthcare systems and deepening global inequities, according to the newly released State of the World’s Nursing 2025 report from the World Health Organization (WHO) and International Council of Nurses (ICN). As detailed in a May 12 article…
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