HHS releases cost savings for 64 prescription drugs
The Centers for Medicare and Medicaid Services announced Friday that 64 Part B drugs will have a reduced price for...
Anthem faces backlash from new anesthesia policy, reverses course in all states
A recent decision from Anthem Blue Cross Blue Shield in three states to stop paying for anesthesia care in select...
Trump could boost Medicare Advantage—but reform may be coming
Medicare Advantage (MA) insurer stocks soared following Election Day, with healthcare onlookers assuming the new Trump administration would set favorable...
CMS finalizes 2.9% pay bump for hospital outpatient facilities
Under a final rule issued by the Centers for Medicare and Medicaid Services, outpatient hospital facilities and ambulatory surgical centers...
New bipartisan bill aims to block Medicare pay cuts to docs
Physicians and other healthcare practitioners may get a pay boost in 2025 through a bipartisan bill introduced in Congress on...
CMS proposes risk adjustment changes, broker fraud crackdown
A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. 4 would protect beneficiaries from shady...
Last-minute IPPS update unwinds low wage index hospital policy
To comply with a summer court order, the Biden administration made a last-minute change to its inpatient rates that will...
Medicare Advantage, Part D premiums are stable for 2025
Medicare’s open enrollment window opens in a few weeks, and the Centers for Medicare & Medicaid Services is offering a...
CMS commits $100M to support ACA navigators
With open enrollment on the Affordable Care Act exchanges just a few months away, the feds are investing $100 million...
NAACOS worries new ACO REACH changes could force exits
The Centers for Medicare & Medicaid Services (CMS) quietly released changes to the ACO REACH Model, prompting one industry group...