HIT Consultant

MARCH 2, 2023

By the end of 2024, we’ll have more than 75 Walmart Health centers across the United States. The first of the new Walmart Health centers will open in the first quarter of 2024.

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Fierce Healthcare

MARCH 24, 2023

AHA: MedPAC report on hospital finances 'misleading;' recommended 2024 pay bump 'totally insufficient' dmuoio Fri, 03/24/2023 - 15:39

Hospitals 109

Hospitals 109

Electronic Health Reporter

DECEMBER 21, 2022

The article The 2022 Midterms: Implications for 2023-2024 and Health Policy appeared first on electronichealthreporter.com. Although it took eight days for most of the dust to settle after the 2022 midterm elections, it is now clear that […].

Governance 91

Governance 91

HIPAA Journal

MARCH 13, 2023

OCR has also seen declining civil monetary collections since 2019 and its caseload in 2024 is expected to be twice that of 2018. Source: HHS FT 2024 Budget in Brief In 2021 and 2022, there were 36 civil monetary penalties and settlements, with just 5 resolving HIPAA violations other than HIPAA Right of Access failures.

HIPAA 104

HIPAA Compliance 104

Healthcare Dive

APRIL 3, 2023

Risk adjustment changes will now be phased in over three years, after payers pushed back on the proposed payment rule.

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Fierce Healthcare

MAY 9, 2023

CEO Mark Bertolini: Oscar Health to exit California's ACA exchange in 2024 fdiamond Tue, 05/09/2023 - 18:16

ACA 94

ACA 94

Healthcare Dive

FEBRUARY 2, 2023

Trade association AHIP said it was “concerned with the potential adverse impact of the rate notice,” especially in light of other recent regulation seeking to claw back overpayments to MA payers.

Overpayments 245

Overpayments Overpayment 245

Healthcare IT News - Telehealth

FEBRUARY 1, 2022

The stakeholders outlined several steps for Congress to chart a path forward with regard to virtual care: Authorizing the continuation of all current telehealth waivers through December 31, 2024, giving the U.S. Department of Health and Human Services the authority and flexibility to continue relaxing certain restrictions. healthcare system.

COVID-19 146

COVID-19 Public Health Telemedicine Medicare 146

Center for Health Insurance Reform

APRIL 26, 2023

The Biden administration has published its rules for the ACA's insurers and Marketplaces for plan year 2024. In a post for Health Affairs' Forefront, Sabrina Corlette reviews what is changing, and what is not.

ACA 73

ACA 73

Fierce Healthcare

APRIL 10, 2023

CMS proposes nearly 3% bump to inpatient pay in fiscal 2024 and install equity requirements rking Mon, 04/10/2023 - 17:20

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HealthIT Answers

APRIL 18, 2023

On April 10, 2023, CMS issued the fiscal year 2024 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The post FY 2024 CMS Hospital IPPS and LTCH PPS Proposed Rule appeared first on Health IT Answers.

Hospitals 52

Hospitals Medicare Medicare Payment Systems 52

Center for Health Insurance Reform

APRIL 6, 2023

The Biden administration has proposed new rules for the Affordable Care Act’s (ACA) marketplaces in 2024, which are expected to be finalized any day. In the final installment of our annual NBPP stakeholder comment series, CHIR's Rachel Schwab reviews state responses to the proposed rule.

ACA 87

ACA 87

Healthcare Dive

MARCH 15, 2023

The agency cited its need to take on bigger and more complex cases in areas like health privacy in its request on Tuesday for a $160 million funding boost.

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Center for Health Insurance Reform

MARCH 31, 2023

Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers With the twin goals of building on the enrollment gains and improving the consumer experience, the Centers for Medicare & Medicaid Services (CMS) has proposed an annual set of requirements.

Health Insurance 75

Health Insurance ACA Medicaid Medicaid 75

Fierce Healthcare

MARCH 9, 2023

Here are the top health items in Biden's new fiscal 2024 proposed budget rking Thu, 03/09/2023 - 12:39

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Healthcare Dive

APRIL 25, 2023

The payer beat Wall Street expectations in the first quarter on both earnings and revenue, which reached $39 billion.

Medicaid 237

Medicaid Medicaid 237

Health Care Law Brief

APRIL 3, 2023

On Friday, March 31, 2023, the Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ( Rate Announcement ). We note that the greatest increase in enrollment in MA for 2024 was in dual-eligible special need plans.

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Center for Health Insurance Reform

APRIL 6, 2023

The Biden administration is poised to finalize new rules governing the Affordable Care Act Marketplaces and insurance reforms for plan year 2024.

Governance 75

Governance ACA 75

Fierce Healthcare

FEBRUARY 1, 2023

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes rking Wed, 02/01/2023 - 17:35

Medicare 105

Medicare Medicare 105

Healthcare Law Blog

APRIL 24, 2023

Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others. On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S.

Medicaid 52

Medicaid Medicaid Health Insurance Compliance 52

Healthcare Dive

APRIL 11, 2023

Hospital lobbies slammed the proposed rule as insufficient to help hospitals address inflation and rising labor costs, though research signals hospitals are more financially stable than such groups suggest.

Hospitals 273

Hospitals 273

Fierce Healthcare

JANUARY 12, 2023

MedPAC calls for slight pay update to 2024 Medicare rates for hospitals, physicians. Thu, 01/12/2023 - 14:33.

Medicare 98

Medicare Medicare Hospitals 98

Center for Health Insurance Reform

DECEMBER 16, 2022

In its 2024 Notice of Benefit & Payment Parameters, the Biden administration has proposed a number of policy changes and operational updates for the Affordable Care Act's marketplaces and consumer protections. CHIR's Sabrina Corlette provides a deep dive on the proposals in Health Affairs' Forefront.

Health Insurance 67

Health Insurance 67

Center for Health Insurance Reform

JANUARY 5, 2023

Continue reading → The post The Proposed 2024 Notice of Benefit & Payment Parameters: Implications for States appeared first on Center on Health Insurance Reforms. In this Expert Perspective for the State Health & Value Strategies program, Sabrina Corlette and Tara Straw review provisions of particular importance to states.

Health Insurance 73

Health Insurance Governance 73

Fierce Healthcare

DECEMBER 12, 2022

CMS proposes cap on non-standard ACA plans, network adequacy standard changes for 2024. Mon, 12/12/2022 - 17:34.

ACA 97

ACA 97

Healthcare Dive

MARCH 16, 2023

Updating base physician payment rates by 1.45% in 2024 as proposed by the group that advises Congress on Medicare policy is “grossly insufficient,” the Medical Group Management Association said in a statement.

Medicare 303

Medicare Medicare 303

Fierce Healthcare

JANUARY 4, 2023

California awards managed care contracts to Molina, Elevance Health and others for 2024. Wed, 01/04/2023 - 15:55.

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Healthcare Dive

OCTOBER 13, 2022

Despite a net loss in the fourth quarter, the Deerfield, Illinois-based pharmacy chain beat analyst expectations for both earnings and revenue.

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Healthcare Dive

MARCH 7, 2023

The plan — part of Biden’s 2024 budget proposal set to be released Thursday — would further reduce what Medicare pays for prescription drugs and raise taxes on Americans earning over $400,000.

Medicare 290

Medicare Medicare 290

Healthcare Dive

MAY 3, 2023

The company’s recent big-ticket acquisitions are taking a toll on its financial outlook, though management told investors Wednesday the company still expects to reach its prior earnings targets for 2024 and 2025.

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Healthcare Dive

MAY 15, 2023

The company plans to wind down the business in phases, with a full exit by December 2024.

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Healthcare Dive

NOVEMBER 2, 2022

Beginning in January 2024, ACOs that don’t have experience with performance-based risk will be able to stay in a one-sided risk arrangement for up to seven years before transitioning to two-sided risk.

Medicare 298

Medicare Medicare 298

Hall Render

APRIL 18, 2023

The FFY 2024 IPPS Proposed Rule (“Proposed Rule”) was released on April 10, 2023, and CMS published the associated tables on its website. Specifically, CMS would include hospitals with §412.103 rural reclassification along with geographically rural hospitals in rural wage index calculations beginning with FY 2024.

Medicare 40

Medicare Medicare Hospitals Payment Systems 40

Healthcare Dive

JANUARY 4, 2023

Five insurers will now receive lucrative contracts to provide managed care services, starting in 2024, in the country's largest Medicaid market.

Medicaid 236

Medicaid Medicaid 236

Fierce Healthcare

MAY 31, 2023

Employers are bracing for 2024, fearing they’ll face inflation and soaring healthcare costs while still trying to recruit and retain workers in a tight labor market, a new survey shows. A survey by the consulting company Mercer says they won’t be so lucky in 2024.

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Fierce Healthcare

MARCH 2, 2023

Walmart Health plans to enter 2 new states in 2024 pminemyer Thu, 03/02/2023 - 11:03

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Healthcare Law Today

JANUARY 4, 2023

million omnibus spending bill that became law December 29, 2022, the Centers for Medicare & Medicaid Services (CMS) extended, through December 31, 2024, the Acute Hospital Care at Home (H@H) initiative whereby individual hospitals may seek waivers to operate H@H programs. As part of the $1.7

Hospitals 52

Hospitals Medicare Medicare Medicaid 52