Hospital at home providers navigate complexities during shutdown
When the government entered a partial shutdown Oct. 1, hospitals across the country faced a major task: discharging, relocating or...
CMS drug negotiations boost rheumatological care access
As physicians who treat life-threatening autoimmune disease, we are problem solvers, adept at prescribing diagnostic tests and medications to improve...
How propensity-to-pay models help healthcare providers improve collections
Key takeaways: Healthcare organizations are facing growing levels of bad debt and a sharp decline in collections. Propensity-to-pay models that...
Coverage Discovery: How it works and benefits healthcare organizations
Over the past two decades, U.S. hospitals have absorbed nearly $745 billion in uncompensated care, according to the American Hospital Association....
What the 2025 budget bill means for hospital revenue and readiness
Key takeaways: Changes to Medicaid, Medicare and the Affordable Care Act provisions in H.R. 1 are expected to increase financial...
CMS floats 2.4% annual outpatient, ASC pay bump for CY2026
The Centers for Medicare & Medicaid Services’ annual pay rate proposal for outpatient and ambulatory surgical centers (ASCs) includes a...
How healthcare providers can verify health insurance coverage without an SSN
Tracking down missing health coverage has always been challenging for providers, but proposed changes to the Affordable Care Act and...
‘Watching the clues’: Uncertainty clouds Medicare conference
Medicare agents and brokers are trying to get a handle on a rapidly changing health landscape, but, in some respects,...
CMS finalizes 5.06% Medicare Advantage benchmark increase
The Centers for Medicare and Medicaid Services (CMS) finalized an increase of the average benchmark payments to Medicare Advantage (MA)...
Brooks-LaSure warns ‘cavalier’ CMS cuts endanger health programs
Former Centers for Medicare and Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure is not buying the Trump administration’s claim health programs...
