Last Friday, the Congressional Budget Office published its projections on the Hospital Insurance Trust Fund (HI) financial position and found that the balance will be exhausted by 2040.
The CBO estimates that the balance will increase through 2031 but then spending will outpace income by 2032. The projection builds on CBO report...
Last Friday, April 22, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a proposal to rectify a few of the issues many Americans face with Medicare enrollment.
The CMS press release says the proposed rule will implement provisions from the Consolidated Appropriations Act of 2021 and President Joe Biden's executive...
On Monday, the Centers for Medicare and Medicaid Services (CMS) filed the Fiscal Year 2023 Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Proposed Rule. The reimbursements include a 3.9% increase to industry reimbursements, but in aggregate the impact of payment policies would result in a decrease of $320 million in...
On Wednesday, the U.S. Supreme Court heard oral arguments in the case Dobbs v. Jackson Women's Health Organization, which concerns a Mississippi law that bans abortion after 15 weeks of pregnancy. A ruling that upholds the law would directly challenge Roe v. Wade, the 1974 court ruling that legalized abortion in all 50...
The Centers for Medicare and Medicaid Services (CMS) issued a final rule making changes to the Comprehensive Care for Joint Replacement (CJR) payment model last week. The final rule extends the payment model for three performance years for participating hospitals and allows for CMS to test modifications to the model.
The final rule...Arizona News
In a March 24 ruling, U.S. District Judge Michael Shea granted Medicare patients the constitutional right to challenge hospital decisions putting them on observation status. The class action case favored beneficiaries who had their status changed by hospitals to observation, despite having initially been admitted by...
Medicare patients and providers have long struggled with interpreting the three-day rule. Last month, a trial began after a class action lawsuit on behalf of patients was brought against the Centers for Medicare & Medicaid Services (CMS) because of the rule.
What is the three- day rule? How does it work? Why hasn’t this...
