Medicare
publication date
Innovation
CMS Advances Virtual Care, Digital Health Coverage in Proposed 2025 PFS
The proposed Physician Fee Schedule includes, among other things, Medicare coverage for care management using telehealth and digital health tools,...
Payer
The $25M Price Tag To Escape NewYork-Presbyterian Hospital
Do big hospitals have too much power?
Payer
Price Transparency: Private Plans Pay More, A Lot More
Left without cost data, a study shows employers are still struggling to create better health plans.
Payer
Medicare Trustees Report: Hospital Trust Fund Extended
The report presented a significant win for hospitals, yet illustrates where more funding is needed.
Telehealth
House Committee Vote Gives Hope to Extending Telehealth, Hospital at Home Waivers
The House Ways and Means Committee has approved a bill that would extend CMS pandemic-era telehealth waivers another two years...
Payer
The First of Many Firsts: The New CMS Innovation in Behavioral Health Model
Specialty behavioral health practices will be incentivized to coordinate comprehensive health.
CFO
Baptist Health System Inc. to Pay $1.5M to Settle False Claims Allegations
The Jacksonville, Florida-based health system self-disclosed the improper discounts to encourage patient referrals.
Pharma
'Skinny Label' Generics Saved Medicare $14.6B
The program has demonstrated savings but legal challenges threaten its future.
Revenue Cycle
Hospitals Push Back on CMS' 'Inadequate' 2.6% Rate Increase Proposal
The proposed 2.6% payment increase is the lowest rate increase proposed since 2019.
Telehealth
Congress Likely to Kick the Can on COVID-Era Telehealth Policies
Federal lawmakers face a year-end deadline to solidify or scuttle COVID-era payment changes for telehealth services.
Payer
After Public Push, CMS Curbs Health Insurance Agents' Access to Consumer SSNs
The access to policyholders' personal information was one of the problems cited by KFF Health News.
Payer
Biden Is Right About $35 Insulin Cap but Exaggerates Prior Costs for Medicare Enrollees
Insulin for Medicare beneficiaries 'was costing 400 bucks a month on average. It now costs $35 a month.' ? President...