CMS released a proposed rule this week that would boost hospitals’ inpatient payment rates by 2.6%. Hospitals groups have swiftly denounced this plan, arguing that this payment update is insufficient and will jeopardize hospitals’ financial stability.
Establishing site-neutral payments for outpatient services is a hot issue in Capitol Hill right now. Advocates say that such policy would lower healthcare costs, saving both patients and taxpayers money. Opponents say that it would put hospitals’ financial security at risk and jeopardize access to care.
A specialty drug is a class of prescription medications used to treat complex, chronic or rare medical conditions. Although this classification was originally intended to define the treatment of rare, also termed “orphan” diseases, affecting fewer than 200,000 people in the US, more recently, specialty drugs have emerged as the cornerstone of treatment for chronic and complex diseases such as cancer, autoimmune conditions, diabetes, hepatitis C, and HIV/AIDS.
The American Medical Association, American Hospital Association and other provider groups are suing the Department of Health and Human Services over a small but important detail of how it is implementing surprise billing legislation. They argue that the arbitration process for unresolved disputes currently favors insurers.
As providers ask Congress for additional funding, the American Hospital Association published a report showing that hospitals are expected to lose more than $200 billion in Covid-19 expenses and lost revenue.
The American Hospital Association and the Association of American Medical Colleges sued CMS over a planned $800 million reduction in payments for hospital outpatient services in 2020. The two groups won a similar lawsuit in 2019.
The new proposed rules also include enforcement tools for bad actors including monitoring, auditing, corrective action plans and monetary penalties of $300 a day.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
A order released Monday directs the Department of Health and Human Services to start the rulemaking process to require that providers divulge the prices that patients and insurers pay in a readable format.
A report in Reuters cited unnamed sources who said that two hedge funds with ownership stakes in Centene - Corvex Management LP and Sachem Head Capital Management - are looking to possibly oppose the Wellcare acquisition in favor of a deal with a larger player like Humana.
The inaugural AHA Leadership Summit Startup Competition will feature six early stage technology startups with the practical and tactical innovations that can drive a real return on investment for hospitals at the organization's meeting on July 25.
Through this call to action, the American Heart Association and medical equipment company Laerdal Medical aim to save 50,000 additional lives from preventable cardiac arrest death each year by 2025.
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
A recent survey from AVIA and the American Hospital Association zeroed in on how 317 hospital and health system leaders view digital innovation.
During a speech at the American Hospital Association Annual Membership Meeting, FBI Director James Comey encouraged hospitals to reach out to his agency for help and avoid paying ransom.
Cardiovascular disease (CVD) remains the number one killer of Americans, and by 2030, nearly 44 percent of U.S. adults will have some form of the disease. [1] It has long been recognized that consumption of omega-3 fatty acids, especially eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), can help reduce the risk of CVD. [2,3] Indeed, […]
Hospitals need to be careful of an audit flag if a patient stays longer than the stated anticipated number of midnights, especially if there is no evidence of a post-hospital discharge plan.