Healthcare Dive

MAY 23, 2022

The hospital lobby is pushing the Justice Department to go beyond the recommendations in a new report from the HHS OIG and punish Medicare Advantage organizations that routinely deny coverage to beneficiaries.

Medicare 290

Medicare Medicare Hospitals 290

Healthcare Dive

JUNE 27, 2022

The highest court upheld HHS' method of calculating Medicare payments to hospitals serving a high proportion of low-income patients, rebutting hospitals’ efforts to recoup potentially billions of dollars from the program.

Medicare 279

Medicare Medicare Hospitals 279

Healthcare Dive

NOVEMBER 29, 2022

Hospitals must effectively mitigate risks to ensure patients and staff are safe as part of their Medicare certification, the agency said in a Monday memo, noting that some facilities have received citations for failing to do so.

Hospitals 306

Hospitals Medicare Medicare 306

Fierce Healthcare

JUNE 28, 2023

Medicare Advantage (MA) beneficiaries have fewer inpatient hospital stays and emergency department visits than beneficiaries in traditional fee-for-service Medicare, according to a

Medicare 124

Medicare Medicare Hospitals 124

Kaiser Health News

AUGUST 3, 2023

Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties , Medicare cuts as much as 3 percent for each patient, although the average is generally much lower.

Medicare 74

Medicare Medicare Hospitals Public Health 74

Fierce Healthcare

DECEMBER 20, 2022

Medicare-certified hospitals must supply ownership data. Tue, 12/20/2022 - 16:46.

Medicare 128

Medicare Medicare Hospitals 128

Healthcare Dive

FEBRUARY 21, 2024

The research found no differences in 30-day hospital readmissions or mortality, but the study’s authors said more analysis on patients’ long-term functioning was needed.

Medicare 278

Medicare Medicare Hospitals 278

Compliancy Group

APRIL 25, 2024

Maintaining Medicare compliance and avoiding legal and financial repercussions requires Medicare compliance training for employees at all organizational levels. Examples of Medicare fraud include billing for unrendered services and using a billing code or a service that’s more expensive than what a patient received.

Fraud 52

Fraud Medicare Medicare Compliance 52

Fierce Healthcare

FEBRUARY 27, 2023

Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why rking Mon, 02/27/2023 - 17:41

Medicare 116

Medicare Medicare Hospitals 116

Fierce Healthcare

MAY 3, 2023

How a Medicare-X model could impact patients, hospitals: Urban Institute fdiamond Wed, 05/03/2023 - 16:40

Medicare 118

Medicare Medicare Hospitals 118

Kaiser Health News

FEBRUARY 3, 2022

Under programs set up by the Affordable Care Act, the federal government cuts payments to hospitals that have high rates of readmissions and those with the highest numbers of infections and patient injuries. For the readmission penalties , Medicare cuts as much as 3 percent for each patient, although the average is generally much lower.

Medicare 105

Medicare Medicare Hospitals Governance 105

Kaiser Health News

FEBRUARY 8, 2022

The federal government has penalized 764 hospitals — including more than three dozen it simultaneously rates as among the best in the country — for having the highest numbers of patient infections and potentially avoidable complications.

Medicare 123

Medicare Medicare Hospitals COVID-19 123

Healthcare Dive

JUNE 13, 2022

Though it’s tempting to interpret the recent Medicare trustees report as good news, academics are arguing lawmakers can’t wait until hospital trust fund insolvency is imminent before taking action to bolster the program.

Medicare 246

Medicare Medicare Hospitals 246

HealthIT Answers

APRIL 23, 2024

On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.

Hospitals 59

Hospitals Payment Systems Medicare Medicare 59

Healthcare IT News - Telehealth

APRIL 3, 2024

Hospital patients with conditions like pneumonia, dehydration and heart failure have been shown to experience shorter recovery times with fewer complications when they receive more cost-effective healthcare at home – and many health systems have been preparing for this future.

Hospitals 142

Hospitals Medicaid Medicaid Medicare 142

Fierce Healthcare

SEPTEMBER 20, 2023

Traditional Medicare not only doesn’t measure up to Medicare Advantage (MA) when it comes to cutting back on utilization, it also falls short in many ways compared to commercial insurance for those | Researchers say Medicare Advantage enrollees have more than 50% fewer inpatient hospital stays than FFS Medicare enrollees and 22% fewer visits to emergency (..)

Medicare 134

Medicare Medicare Hospitals 134

HealthIT Answers

AUGUST 12, 2023

On August 1, 2023, the CMS issued the fiscal year 2024 Medicare hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. The final rule updates Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2024.

Medicare 52

Medicare Medicare Hospitals Payment Systems 52

Fierce Healthcare

JANUARY 19, 2024

Traditional Medicare’s bar for reimbursing long-term care hospitals (LTCH) for severely ill, “high-cost outlier” patients has spiked under current payment policies. |

Hospitals 116

Hospitals Medicare Medicare 116

Fierce Healthcare

APRIL 20, 2023

Pandemic-era Medicare pay bump not enough to cover hospitals' 17.5% expense growth, AHA argues dmuoio Thu, 04/20/2023 - 12:50

Medicare 105

Medicare Medicare Hospitals 105

Fierce Healthcare

FEBRUARY 1, 2024

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star rating | The Federation of American Hospitals is pushing CMS for the inclusion of a star ratings quality measure that shows how often insurers overturn or uphold (..)

Hospitals 128

Hospitals Medicare Medicare 128

Healthcare IT News - Telehealth

MARCH 25, 2024

The Centers for Medicare and Medicaid Services just released data on its Acute Hospital Care at Home initiative , which thus far has admitted 11,159 patients suffering from respiratory infections, heart failure and severe sepsis. You contend CMS's Acute Hospital Care at Home program needs scalability to survive.

Hospitals 161

Hospitals Health Outcomes Medicaid Medicaid 161

The Health Law Firm

JUNE 17, 2022

Board Certified by The Florida Bar in Health Law On June 15, 2022, the US Supreme Court said the federal government improperly cut more than $1 billion a year in Medicare reimbursements to hospitals. Indest III, J.D., This came in a ruling that limits regulators’ power to control what the program pays for certain drugs.

Medicare 94

Medicare Medicare Hospitals Governance 94

Fierce Healthcare

MARCH 20, 2023

MedPAC in no rush to recommend major hospital Medicare payment increases, despite industry's pleas dmuoio Mon, 03/20/2023 - 17:06

Medicare 98

Medicare Medicare Hospitals 98

Fierce Healthcare

NOVEMBER 14, 2022

Hospital groups tell lawmakers looming Medicare cuts 'not sustainable' as officials come back. Mon, 11/14/2022 - 13:53.

Medicare 105

Medicare Medicare Hospitals 105

Fierce Healthcare

APRIL 11, 2023

HHS got rid of most of Medicare appeal backlog, ending legal battle with hospitals rking Tue, 04/11/2023 - 16:22

Medicare 98

Medicare Medicare Hospitals 98

HealthIT Answers

JULY 25, 2022

On July 15, 2022, CMS proposed Medicare payment rates for hospital outpatient and Ambulatory Surgical Center services. The calendar year 2023 Hospital Outpatient Prospective Payment System and ASC Payment System Proposed Rule is published annually and will have a 60-day comment period, which will end on September 13, 2022.

Payment Systems 52

Payment Systems Medicare Medicare Hospitals 52

Healthcare IT News - Telehealth

NOVEMBER 22, 2023

Patients who received care under the pandemic's Acute Hospital Care at Home program had a low mortality rate and minimal complications related to escalations back to the brick-and-mortar hospital, according to a CMS research letter published in the Journal of the American Medical Association Health Forum.

Hospitals 121

Hospitals COVID-19 Public Health Medicare 121

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

Compliancy Group

MARCH 22, 2024

depend on Medicare to get the healthcare they need. Remaining in good standing with Medicare has several advantages. Compliance Program A comprehensive way to avoid Medicare exclusion is to develop an organization-wide compliance program, one of the Centers for Medicare and Medicaid Services (CMS) requirements.

Medicare 52

Medicare Medicare Compliance Compliance Officers 52

Kaiser Health News

JANUARY 28, 2022

A three-judge federal appeals court panel in Connecticut has likely ended an 11-year fight against a frustrating and confusing rule that left hundreds of thousands of Medicare beneficiaries without coverage for nursing home care, and no way to challenge a denial. But it can have serious repercussions.

Nursing Homes 145

Nursing Homes Medicare Medicare Nurses 145

Fierce Healthcare

OCTOBER 7, 2021

New data show Medicare Advantage beneficiaries had lower hospitalization, mortality rates for COVID-19. Thu, 10/07/2021 - 12:36.

COVID-19 128

COVID-19 Medicare Medicare Hospitals 128

Fierce Healthcare

JUNE 27, 2023

Medicare Advantage (MA) beneficiaries given home-delivered meals in the four weeks after being discharged from a hospital were not only less likely to be readmitted within 30 days, they were also l | Kaiser Permanente Southern California found that a meal delivery program for Medicare Ad-vantage beneficiaries cut mortality rates, and improved outcomes (..)

Medicare 111

Medicare Medicare Hospitals 111

Fierce Healthcare

NOVEMBER 2, 2023

The Centers for Medicare & Medicaid Services has dropped the final rule to remedy the invalidated 340B-acquired drug payment policy for calendar years 2018 to 2022. |

Hospitals 119

Hospitals Medicare Medicare Medicaid 119

Fierce Healthcare

FEBRUARY 21, 2024

Medicaid disproportionate share hospital (DSH) payments are being cut by $8 billion annually during the current and next four federal fiscal years under a new Centers for Medicare and Medicaid Serv | Published Tuesday and set to go into effect in two months, the final rule limits the calculation of a hospitals Medicaid shortfall to beneficiaries with (..)

Medicaid 104

Medicaid Medicaid Hospitals Medicare 104

Fierce Healthcare

NOVEMBER 8, 2021

Report ranks 10 most cost-efficient hospitals in the U.S., identifies $8B in potential Medicare savings. agliadkovskaya. Mon, 11/08/2021 - 18:03.

Medicare 126

Medicare Medicare Hospitals 126

Modern Healthcare

JULY 3, 2023

Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates

Medicare 93

Medicare Medicare Nursing Homes Medicaid 93

Fierce Healthcare

AUGUST 31, 2021

Medicare trustees project hospital fund to run out in 2026, same deadline as year before. Tue, 08/31/2021 - 17:02.

Medicare 136

Medicare Medicare Hospitals 136