December 18, 2024 The Health Care Priorities in Proposed Government Funding Agreement Federal lawmakers late last evening unveiled the text of their proposed spending bill, which includes several key priorities for the hospital community.
November 04, 2024 5 Key Changes in Final CMS Payment Rules CMS finalized two payment rules for 2025 late Friday—the Outpatient Prospective Payment System and the Physician Fee Schedule—that contained several notable changes for hospitals and health care policy.
October 21, 2024 5 Facts about Medicare Open Enrollment It’s time for millions of older Pennsylvanians to consider their coverage options during Medicare’s open enrollment period.
October 04, 2024 CMS Sets Stage for Next Round of Drug Negotiations CMS has released new guidance outlining the process for the second cycle of negotiations under the Medicare Drug Price Negotiation Program.
September 19, 2024 Another Telehealth Extension Advances in Congress The House Energy and Commerce Committee this week advanced a two-year extension of pandemic-era Medicare telehealth flexibilities that were set to expire at the end of the year.
August 15, 2024 CMS Announces New Prices from Medicare Drug Negotiations CMS announced the results from the first round of price negotiations between Medicare and the makers of 10 of the most used and expensive prescription drugs.
July 31, 2024 Pa. Reps Call for CMS to Improve Payment to Hospitals The 2025 inpatient prospective payment system fails to reimburse hospitals for the cost of care, a bipartisan group of Pennsylvania’s delegation told CMS.
June 13, 2024 Federal lawmakers Introduce Prior Authorization Bill A bipartisan group of U.S. House and Senate leaders has reintroduced a key bill that would streamline prior authorization for Medicare Advantage plans.
April 02, 2024 How Medicare Advantage Payments are Changing CMS has issued a new proposal that affects payment rates for next year’s Medicare Advantage (MA) plans.
March 14, 2024 OCR Investigating Health Information Security Following Change Healthcare Attack The U.S. Department of Health and Human Services’ Office for Civil Right (OCR) has opened an investigation into whether UnitedHealth Group and Change Healthcare are taking appropriate steps to protect patients’ health information following the February cyberattack that continues to disrupt hospital operations and finances.