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August 08, 2022

Senate passes bill extending ACA subsidies, adding Medicare price negotiations

Sydney Halleman | August 8, 2022 The Senate on Sunday passed a nearly $700 billion bill which extends boosted Affordable Care Act subsidies and allows Medicare to negotiate some prescription drug pricing. The Inflation Reduction Act, a slimmed-down version of President Joe Biden’s multitrillion-dollar Build Back Better bill, looked dead just weeks ago until Sen….

August 01, 2022

CMS finalizes 4.3% bump for hospital inpatient payments in 2023

Robert King | August 1, 2022 The Biden administration finalized a 4.3% bump for inpatient payments for the federal fiscal year 2023, an increase compared to the 3.2% that was originally proposed back in April.  The Centers for Medicare and Medicaid Services released on Monday the final Inpatient Prospective Payment System (IPPS) and Long-Term Care…

July 15, 2022

Most health insurers have released their rates. Now, experts detail what they are doing with the data

Robert King | July 15, 2022 Major health insurers have released massive reams of data detailing their in- and out-of-network rates to comply with a new rule. Now, experts are sifting through those data to identify trends that could affect contract negotiations with providers. “So far so good, if you will, on compliance,” said Niall…

June 08, 2022

Price transparency noncompliance rampant, especially in concentrated markets, rural areas

Dave Muoio | June 8, 2022 ospitals located in more concentrated healthcare markets, rural hospitals and those with higher per patient-day revenue could require “greater scrutiny” to ensure compliance with federal price transparency rules, according to a new analysis. The warning comes alongside yet another review of hospital websites finding low industrywide adherence to the…

June 08, 2022

Providers are calling for more time to implement estimate requirement in surprise bill rule

Robert King | June 8, 2022 Providers have a little more than six months to find a way to deliver good faith estimates to patients on medical bills, but some say a lack of automated solutions is going to create a colossal burden for them to meet. Several groups have written to the Centers for…