Medicare Payment and Reimbursement

Medicare’s proposed increase for inpatient payments in FY23 doesn’t meet hospitals’ expectations

The hospital industry expressed disappointment with the proposed increase for inpatient payments in FY23.

By Nick Hut April 19, 2022

HHS policy update: Recent developments include an extension of the public health emergency and notable progress in reducing the Medicare appeals backlog

HHS Secretary Xavier Becerra signed a 90-day extension of the COVID-19 public health emergency, ensuring the PHE will last until at least mid-July.

By Nick Hut April 18, 2022

CMS leaders explain final plans to restrict Medicare coverage of new Alzheimer’s drug

CMS mostly finalized previously proposed criteria for coverage of Aduhelm, which has been promoted as the first drug to treat the underlying pathology of Alzheimer’s disease.

By Nick Hut April 16, 2022

CMS issues FY23 proposed payment rules for hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities

CMS has released proposed FY23 rules governing prospective payments to hospices, inpatient psychiatric facilities and inpatient rehabilitation facilities.

By Nick Hut April 8, 2022

Healthcare spending projections for the next decade reflect an expectation of steadying trends post-pandemic

CMS actuaries say the healthcare spending spike of 2020 will be tempered across sectors and payers in upcoming years.

By Nick Hut March 30, 2022

News Briefs: Federal funding bill addresses hospitals’ 340B eligibility concerns, extends telehealth waivers

A monthly roundup of top news for healthcare finance professionals.

By Nick Hut March 29, 2022

Healthcare News of Note: Staffing shortages in hospitals and healthcare settings are ‘actively jeopardizing’ patient safety, says ECRI

Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles: Staffing shortages top the list of patient safety concerns, nearly a third of surveyed nurses said they may leave their direct patient care jobs, and MA plans collected $12 billion more in 2020 than traditional Medicare.

By Deborah Filipek March 28, 2022

MedPAC says 2023 hospital payments shouldn’t increase in response to COVID-19

CMS shouldn’t increase Medicare payments to hospitals for the upcoming year beyond the annual update that is based on current law, according to the Medicare Payment Advisory Commission.

By Nick Hut March 21, 2022

Federal funding bill addresses 340B eligibility concerns but not some other points of interest for hospitals

An FY22 appropriations bill allows hospitals to remain in the 340B Drug Pricing Program if their eligibility had been adversely affected by the COVID-19 pandemic.

By Nick Hut March 12, 2022

Medicare coverage updates include revised criteria for lung cancer screening and a code for a newly approved COVID-19 treatment

CMS in February amended its coverage requirements for lung cancer screening and issued a code for a new COVID-19 treatment.

By Nick Hut March 5, 2022
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