Tag: Medicaid

US healthcare spending outpaces GDP, tracks toward $7.7 trillion by 2032

Editor's Note Growth in healthcare spending is outpacing nominal economic growth, Hospice News reported June 12. Citing a study from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS), the outlet reports that healthcare spending’s share of GDP is projected to rise from 17.6%…

Read More

By: Matt Danford
June 13, 2024
Share

Federal regulations require written consent for pelvic exams at hospitals, medical schools

Editor's Note New federal guidelines require obtaining written informed consent before conducting pelvic and other sensitive medical examinations, according to an April 2 Associated Press report. The new guidance from the US Department of Health and Human Services focuses specifically on medical students, nurse practitioners, and physician assistants performing breast,…

Read More

By: Matt Danford
April 15, 2024
Share

Private payers profit by delaying medical claims

Editor's Note Private payers initially deny reimbursement on 15% of claims, only to later approve more than half of those initial denials, according to a national survey of healthcare institutions published March 21 by Premiere, Inc. Additionally, the denied claims on average tend to be more prevalent for higher-cost treatments…

Read More

By: Matt Danford
April 4, 2024
Share

Federal probe investigates care quality impact of private equity mergers, acquisitions

Editor's Note Making good on plans announced by the Biden administration in December, federal agencies have launched a public inquiry into how private equity mergers and acquisitions impact patient outcomes, worker safety, and healthcare access and costs, including costs to taxpayers.  As reported by Dotmed Healthcare Business News on March…

Read More

By: Matt Danford
March 14, 2024
Share

Shift to outpatient, emergency services keeps rural hospitals afloat

Editor's Note More CEOs are considering rural emergency hospital (REH) designation, according to a February 12 article in Becker’s Hospital CFO Report. In January 2023, REH was established as a new Medicare provider type to enable struggling rural hospitals to continue operating with outpatient and emergency services only, instead of…

Read More

By: Matt Danford
February 27, 2024
Share

CMS reforms prior authorization to improve care, streamline physician process

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has implemented a final rule reforming the prior authorization process, with the aim to reduce delays in patient care and boost electronic efficiency for physicians, the American Medical Association (AMA) News Wire reported January 23. The Department of Health and…

Read More

By: Tarsilla Moura
January 23, 2024
Share

Bipartisan congressional letter calls for end to Medicare payment cuts

Editor's Note Nearly 200 members of Congress co-signed a letter urging House and Senate leaders to act quickly in order to prevent a 3.37% cut to Medicare reimbursement payments that was scheduled to take effect on January 1, 2024. The American Medical Association, which supports the effort, reported the news…

Read More

By: Brita Belli
January 10, 2024
Share

Why screening misses critical influences on patient health

Editor's Note Health record codes that track social, environmental, and economic influences on patient health outcomes are vastly underutilized during screening, according a December 19 EurekAlert! report on research from John Hopkins and the University of Colorado Anschutz Medical Campus.   Published in Health Affairs Scholar, the study analyzes the…

Read More

By: Brita Belli
December 19, 2023
Share

Bill seeks to improve cost transparency, provide relief to patients

Editor's Note The US House of Representatives may vote this week on The Lower Costs, More Transparency Act. Introduced September 8, the proposed act aims to boost healthcare pricing transparency so consumers can make more informed decisions. Key elements include: Hospitals, payers, ambulatory surgery centers (ASCs), and other facilities would…

Read More

By: Brita Belli
December 11, 2023
Share

ASCs lock in higher Medicare, Medicaid payment rate

Editor's Note Ambulatory Surgery Centers (ASCs) will now receive a 3.1% payment rate from the Centers for Medicare and Medicaid Services (CMS) for services, which is an increase of .3% under the original rule, Becker’s ASC Review December 5 reports. This change in payment rate reflects the average of all…

Read More

By: Brita Belli
December 8, 2023
Share

Join our community

Learn More
Video Spotlight
Live chat by BoldChat