Tag: Medicare

Hospital M&A climbs as rural, outpatient shifts reshape care strategies

Editor's Note Hospital mergers and acquisitions saw a slight increase in Q2 2025, but broader shifts in healthcare affiliations and delivery models continue to gather momentum, according to a July 10 Kaufman Hall analysis of M&A activity for the second quarter of 2025. The report recorded eight hospital and health…

Read More

By: Matt Danford
July 15, 2025
Share

Medicare faces automatic cuts as GOP tax law triggers PAYGO penalties

Editor's Note President Donald Trump’s “One Big Beautiful Bill” could trigger more than $500 billion in Medicare cuts over the next decade unless Congress waives automatic spending rules, according to a July 9 article in Modern Healthcare. As detailed in the article, the legislation’s projected $3.4 trillion increase to the…

Read More

By: Matt Danford
July 10, 2025
Share

Study: Racial, insurance disparities persist in access to buprenorphine after opioid-related events

JAMA (healthcare publication) Network logo

Editor's Note Black and Hispanic patients remain significantly less likely than White patients to receive buprenorphine after an opioid-related health care event, according research published June 26 in JAMA Network Open. Patients with Medicaid or Medicare Advantage also had higher odds of receiving buprenorphine than those with commercial insurance. The…

Read More

By: Matt Danford
July 2, 2025
Share

The Joint Commission announces accreditation overhaul

Editor's Note The Joint Commission has launched a major redesign of its healthcare accreditation and certification programs with Accreditation 360: The New Standard. According to a June 30 announcement, the new framework introduces outcome-focused performance tools, eliminates hundreds of requirements, and promises to made standards publicly accessible. Reportedly supported by…

Read More

By: Matt Danford
June 30, 2025
Share

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…

Read More

By: Tarsilla Moura
June 25, 2025
Share

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…

Read More

By: Matt Danford
June 25, 2025
Share

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…

Read More

By: Matt Danford
June 18, 2025
Share

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…

Read More

By: Matt Danford
June 5, 2025
Share

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…

Read More

By: Matt Danford
May 23, 2025
Share

AHA urges HHS to cut regulations that burden hospitals and staff

Editor's Note The American Hospital Association (AHA) has called on the Department of Health and Human Services (HHS) to eliminate or ease a variety of federal regulations, arguing that excessive administrative rules drive up costs, reduce patient access, and hinder innovation, Modern Healthcare reported May 13. According to the article,…

Read More

By: Matt Danford
May 16, 2025
Share

Join our community

Learn More
Video Spotlight
Live chat by BoldChat