Key payment details in the Medicare FY22 Inpatient Prospective Payment System proposed rule
CMS’s FY22 proposed rule for the Inpatient Prospective Payment System includes a 2.8% payment increase for general acute care hospitals.
News briefs: CMS reduces Medicare payments by 25% for many providers as part of loan recoupment
News briefs for May include recoupment of Medicare advance payments, a potential issue with hospitals' 340B eligibility, and more.
Why the federal agency that oversees healthcare payment innovation is rethinking its approach
The director of the Center for Medicare & Medicaid Innovation is conducting a “strategic refresh” of the agency to consider how the healthcare industry’s transition to value can be improved.
Prospective CMS administrator’s confirmation hearing highlights Congress’s desire to expand telehealth coverage
In a confirmation hearing for prospective CMS Administrator Chiquita Brooks-LaSure, various members of the Senate Finance Committee expressed their hope to implement a permanent expansion of Medicare telehealth coverage.
Update on Medicare payment policy for treatments involving bamlanivimab
Medicare no longer will pay healthcare providers for administering the COVID-19 treatment bamlanivimab now that the FDA has revoked the Emergency Use Authorization for treatments in which the drug is administered alone.
CMMI announces Direct Contracting participants but cancels second round of applications
The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.
Healthcare News of Note: Federal bailout money helped some of the nation’s wealthier hospitals prosper despite COVID-19
Healthcare News of Note for healthcare finance professionals is a roundup of recent news articles, including wealthier hospitals prospering despite COVID-19, oncologists seeing more new advanced-stage cancer patients and the burden of prior authorizations during COVID.
Better integration with primary care can help address the ongoing mental health and addiction crisis, report finds
Enhanced network adequacy standards, value-based payment models and targeted investments in technology are vital to improving behavioral healthcare in a way that will meet escalating needs.
HHS should ensure 340B hospitals remain eligible despite changes in payer mix, AHA says
Hospitals participating in the 340B Drug Pricing Program could lose access due to payer mix changes stemming from the COVID-19 pandemic unless HHS issues a waiver.
News briefs: The new COVID-19 relief legislation could result in a big Medicare payment cut
The $1.9 trillion American Rescue Plan, which was signed into law March 11, could lead to a significant reduction in Medicare revenues if Congress does not act.