Last month, a federal judge vacated a 2023 Medicare payment rule that limited payouts to disproportionate share hospitals (DSH) which could deliver a significant boost to embattled safety-net providers facing compounding market and regulatory stressors.
The federal crackdown on Medicaid provider taxes and a sharp increase in...CMS Rules
The Medicare payment model for joint replacement care is back and mandatory for nearly all acute care hospitals, resurrected in the now final Hospital Inpatient Prospective System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS).
The final rule includes a pay boost for hospitals of 2.3%, which the Centers for...CMS Rules
On July 1, the Centers for Medicare and Medicaid Services (CMS) issued proposed payment rules, including a provision that would substantially alter rates for the 340B drug discount program and implement site-neutral payments for certain imaging services beginning in 2027. The agency also proposed payment increases for Home Health Systems...CMS Rules
Late last week, the Centers for Medicare and Medicaid Services (CMS) issued the final rule for the Medicare inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS), and the final rule for skilled nursing facilities (SNF) for fiscal year (FY) 2026.
CMS pays hospitals for inpatient...National News
Congressional Republicans have reached a tentative agreement on the shape that a budget reconciliation bill could take, and it includes significant changes to healthcare funding with Medicaid cuts at the center of the plan. The House Energy and Commerce Committee released a legislative text that includes work and reporting requirements...
After backlash from stakeholders, in the final rule on August 1 the Centers for Medicare and Medicaid Services (CMS) increased the inpatient hospital stay from 2.6% as was proposed in the April draft rule, to 2.9% in fiscal 2025. Despite the increase, stakeholders continue to share concerns that the increase is not enough.
Senior Vice...
The Medicare Payment Advisory Committee (MedPAC) submitted its
March 2023 Report to Congress which included its 2024 payment recommendations for Medicare fee-for-service (FFS), Medicare Advantage (MA) and the Medicare prescription drug program (Part D). This year's report is likely to please no one as the committee took aim at claims of...
