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CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements
The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age
Maryland program for specialist physicians reports initial Medicare savings
The voluntary Episode Quality Improvement Program for specialist physicians saved Medicare $20 million in its first year, the Maryland Health Services Cost Review Commission
AHA comments on proposed rule for accrediting organizations
Commenting April 12 on a proposed rule to strengthen oversight of accrediting organizations, AHA told the Centers for Medicare & Medicaid Services it supports requiring accrediting organizations to use Medicare’s Conditions of Participation and Conditions for Coverage as their minimum accreditation standards, and to provide an explicit crosswalk of their standards with relevant Medicare regulations.
CMS issues hospital IPPS proposed rule for FY 2025
The Centers for Medicare & Medicaid Services today issued a proposed rule that would increase Medicare inpatient prospective payment system rates by a net 2.6% in fiscal year 2025.
CMS releases FY 2025 proposed rule for long-term care hospitals
The Centers for Medicare & Medicaid Services today proposed increasing long-term care hospital standard rate payments by 1.2% in fiscal year 2025 relative to FY 2024.
Leaders discuss status of rural health care access during Coalition-sponsored event in Washington
Health care leaders and other officials April 9 discussed challenges to rural health care access and potential solutions during an event in Washington, D.C. sponsored by the Coalition to Strengthen America's Health Care: Protecting 24/7 Care.
OIG recommends Medicare improve rate setting for clinical diagnostic tests for future public health emergencies
For future public health emergencies, the Centers for Medicare & Medicaid Services should improve how it sets Medicare rates for clinical diagnostic laboratory tests under the Clinical Laboratory Fee Schedule and communicates with stakeholders involved in setting the rates, the Department of Health and Human Services’ Office of Inspector General advised last week.
CMS finalizes rule for 2025 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services April 4 finalized changes to the Medicare Advantage and prescription drug programs for contract year 2025 intended to improve access to behavioral health care; cap and standardize MA plan compensation to brokers, including prohibiting volume-based bonuses for enrollment into certain plans; limit the distribution of personal beneficiary data by third-party marketing organizations; ensure that MA plans offer appropriate supplemental benefits; streamline enrollment for individuals dually eligible for Medicare and Medicaid; and annually review MA utilization management policies for health equity considerations.
Report examines impact of COVID-19 on rural hospitals
Almost half of rural hospitals had negative total margins in 2022 and negative patient care margins both before and after the COVID-19 pandemic, according to a report prepared for the AHA by faculty at the Virginia Commonwealth University College of Health Professions.
CMS finalizes Medicare Advantage, Part D payment changes for CY 2025
The Centers for Medicare & Medicaid Services April 1 finalized proposed changes to Medicare Advantage plan capitation rates and Part C and Part D payment policies for calendar year 2025, which the agency estimates will increase MA plan revenues by an average 3.7% from 2024 to 2025.