Tag: Medicaid

DOJ task force, insurers target ASC barriers with parallel reforms

Editor's Note Federal regulators and major insurers are independently moving to ease long-standing burdens on ambulatory surgery centers (ASCs), potentially reshaping the regulatory and administrative landscape in which perioperative leaders operate. According to Ambulatory Surgery Center News June 23, ASC stakeholders are actively engaging with the new Anticompetitive Regulations Task…

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By: Tarsilla Moura
June 25, 2025
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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…

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By: Matt Danford
June 25, 2025
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Study: Language barriers raise sepsis death risk despite faster treatment

Editor's Note Patients hospitalized with sepsis who have limited English proficiency (LEP) face significantly higher odds of dying in the hospital even after accounting for multiple demographic and clinical factors, according to research presented at the American Thoracic Society International Conference by researchers from UC San Diego. Healio reported the…

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By: Matt Danford
June 18, 2025
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Medicaid data shared with DHS to aid immigration enforcement

Editor's Note The Trump administration ordered federal health officials this week to share personal data from Medicaid enrollees with deportation authorities, the Associated Press (AP) reported June 14. According to the report, the Centers for Medicare and Medicaid Services (CMS) was given just 54 minutes on Tuesday to transfer enrollee…

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By: Matt Danford
June 16, 2025
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Significant CMS moves include withdrawal of emergency abortion care guidance

Editor's Note CMS has rescinded a 2022 guidance that protected clinicians providing emergency abortion care under the Emergency Medical Treatment & Labor Act (EMTALA), removing a key federal safeguard for providers in states with abortion restrictions, according to a June 2 article in Becker’s Hospital Review. The guidance, originally issued…

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By: Matt Danford
June 5, 2025
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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…

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By: Tarsilla Moura
June 3, 2025
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CMS updates hospital price transparency guidelines

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has updated hospital price transparency guidelines to require publishing real, calculated dollar amounts rather than placeholders and estimates. As detailed in the agency’s May 22 announcement, the revision complies with President Trump’s February 25 Executive Order 14221, “Making America Healthy…

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By: Matt Danford
May 23, 2025
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Hospital support staff cuts raise risk of infection, delays in care

Editor's Note Although health system layoffs so far involve mostly non-clinical staff, the cuts nonetheless threaten both hospital operations and patient safety, according to a May 21 article in Modern Healthcare. As detailed in the article, thousands of nonclinical workers—such as those working in nutrition, janitorial, and sterile processing—have been…

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By: Matt Danford
May 21, 2025
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ASCA 2025: Leading lawmaker reflects on surgery center priorities

Editor's Note At the 2025 Ambulatory Surgery Center Association (ASCA) conference, discussion of legislative priorities extended beyond educational sessions. Thanks to a visit from the ranking lawmaker of the congressional subcommittee responsible for most healthcare policymaking, attendees also got first-hand insight into the latest negotiations on Capitol Hill. US Representative…

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By: Matt Danford
May 6, 2025
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Tenet, HCA post strong Q1 results, but caution looms over policy uncertainty, outpatient trends

Editor's Note Tenet Healthcare and HCA Healthcare delivered robust first-quarter (Q1) earnings, bolstered by steady inpatient demand and operational discipline—but both hospital giants are treading carefully amid policy and market uncertainties, according to earnings reports covered by Healthcare Dive on April 28 and Trading View on April 29. Tenet reported…

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By: Tarsilla Moura
April 29, 2025
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