Final rules to support interoperability among healthcare stakeholders leave out key proposals
New regulations implemented by the Biden administration in December are designed to ease information-blocking compliance considerations for providers. Nonetheless, providers may be disappointed that technical provisions related to interoperability did not carry over from a wide-ranging proposed rule to a pair of streamlined final rules. Most notably, the finalized regulations exclude certification standards for application…
As data show a spike in spending on hospital services, new report lays out savings options
Accelerating hospital-focused expenditures helped spur a 2023 increase in national health spending, according to newly released data. Spending on hospital services surged by 10.4% for the year, up from a 3.2% increase in 2022 and 3.4% for the three-year period spanning 2020-22. The 2023 increase was the biggest seen since a 10.8% jump in 1990.…
Final bill ensures no loss of funding for Medicaid DSH payments, graduate medical education
The finalized continuing resolution (CR) to keep the federal government funded through mid-March includes key healthcare provisions. The bill that passed both chambers of Congress just before Friday night’s expiration of funding contained the same healthcare items as the version that failed to pass the House the day before. A key difference was the absence…
Which healthcare policies were kept in a doomed second version of the continuing resolution?
A slimmed-down version of a year-end government funding package retained some of the core healthcare provisions from a larger previous version, but little was certain after the second version failed to pass the House of Representatives. After President-elect Donald Trump spoke out against a bipartisan agreement Wednesday night, Republicans in the House drafted a streamlined…
Year-end spending legislation looks promising for healthcare stakeholders — if it passes
Advocates for hospitals and other healthcare providers generally commended an end-of-the-year federal spending package that includes most of their requested provisions. However, a specific item loomed as a source of concern in the hospital sector, and by early Wednesday evening, there were questions about the viability of the entire bill. Congress released text for a…
As transparency rules enter their fifth year, advanced uses gain traction
With price transparency rules becoming more entrenched in the healthcare system, applications are growing more sophisticated. “There’s this treasure trove of data out there, and a lot of interest in how it can best be leveraged to support not just consumers but also broader policy goals to improve healthcare affordability,” Sabrina Corlette, JD, co-director of…
Hospital financial and revenue cycle benchmarks paint a complicated picture heading into the new year
The tail end of 2024 has brought promising news regarding hospital financial metrics, even as revenue cycle indicators suggest continuing strain. Margin data are showing moderate improvement, and one of the three credit-rating agencies has upgraded its 2025 sector outlook for not-for-profit (NFP) hospitals and health systems. Fitch Ratings announced this week it was revising…
The state of U.S. primary care: Daunting challenges, achievable solutions
Value-focused efforts to shore up primary care require bold initiatives that increasingly are being implemented but continue to encounter obstacles, according to insights from a recent conference. “We have answers in a kind of amazing array of [physician] practices all over the country that are generally doing an aligned thing,” said Asaf Bitton, MD, associate…
Detained suspect in the killing of UnitedHealthcare CEO Brian Thompson seemed to have a grudge against the healthcare industry
The capture of a suspect in the homicide of UnitedHealthcare CEO Brian Thompson appeared to confirm the notion that anger at the healthcare industry motivated the perpetrator. A man named Luigi Mangione, 26, was apprehended at a McDonald’s in Altoona, Pa., on Monday, five days after Thompson was gunned down outside the site of parent…
Proposed ban on medical debt reporting faces an unfavorable political climate
Regulations essentially prohibiting the reporting of medical debt appear to be on shaky ground heading into 2025. Litigation brought by trade groups representing the accounts receivables industry has stalled the advancement of regulatory language issued by the Consumer Financial Protection Bureau (CFPB), and a bigger threat is impending with the upcoming transition of power in…