Medicare
publication date
CFO
Hospitals Push Back Against Proposed Site-Neutral Payments
This proposal isn't sitting well with the industry.
Technology
Will Congress Save Telehealth?
CMS won't extend certain key pandemic-era waivers any longer, putting telehealth expansion plans in jeopardy. Will lawmakers step in and...
CFO
New Bill Aims to Increase Physician Pay, Block Medicare Cuts
The Medicare Patient Access and Practice Stabilization Act would, if passed, boost physician pay by 4.7%, replacing Medicare?s planned 2.8%...
Innovation
New Reimbursement Rules Give RPM Providers a Much-Needed Win
The decision from the AMA?s CPT panel will help health systems and hospitals scale and sustain smaller and more inclusive...
CFO
Payers Are Playing Hardball—And Hospital CFOs Are Paying the Price
New data exposes aggressive tactics by payers for Medicare Advantage denials.
CMO
Medicare's Proposed Physician Fee Cut Could Lead to Some Hard Decisions
Prevea Health's CMO says the proposed 2.8% cut in the 2025 Physician Fee Schedule could force providers to reduce or...
Technology
Are RPM Programs Riddled With Fraud?
Digital health supporters say there?s no evidence of fraud in RPM programs, refuting an OIG report that calls out the...
Payer
The Many Faces of UM: The Next Two Decades
Utilization management has the power to perform many jobs. Will it?
Revenue Cycle
Hospitals Primarily Serving Marginalized Groups Received Lower Pay Rates from Commercial Payers
Pay rates for hospitals serving historically marginalized populations were 15% lower than those for other hospitals in one state.
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.