February 08, 2022
JESSIE HELLMANN
A federal program that reimburses healthcare providers that care for uninsured COVID-19 patients is expected to run out of money by spring or summer.
Category: News
Insurers stretched provider bonuses, quality investment to avoid rebates, CMS says
February 01, 2022
Maya Goldman and Nona Tepper
A rule aimed at cracking down on how commercial insurers spend consumers’ premium dollars could upend provider compensation and accelerate adoption of value-based contracts, experts say.
Give Medicare direct contracting time to prove its value or expose its flaws
January 26, 2022
Dr. Clive Fields and Gary Jacobs
Healthcare experts have argued for years that we should move away from the dysfunctional, unsustainable fee-for-service Medicare reimbursement system and toward value-based models that incentivize better health outcomes such as reduced hospitalizations and post-acute care costs.
CMS vaccine policy now enforceable in all 50 states
January 19, 2022
MAYA GOLDMAN
The federal COVID-19 vaccine mandate for healthcare workers can officially go into effect nationwide after a judge tossed out a challenge to the mandate from Texas on Wednesday.
Supreme Court allows healthcare worker vaccine mandate to continue
January 13, 2022
MAYA GOLDMAN
The Supreme Court ruled Thursday that the federal government’s COVID-19 vaccine mandate for healthcare workers can continue while appeals are pending at lower courts.
Medicare Advantage market shows signs of valuation bubble ready to burst
January 04, 2022
NONA TEPPER
TARA BANNOW
The past several years have seen headline after headline about investors buying up Medicare Advantage-focused providers for huge sums of money and throwing cash behind startup insurers that promise to disrupt the $350 billion market.
Lenox Hill surgeons sue UnitedHealth, Aetna over reimbursements
December 22, 2021
MARI DEVEREAUX
UnitedHealth Group and CVS Health’s Aetna have been hit with a trio of lawsuits alleging the insurance companies failed to properly reimburse surgeons.
Envision sued over role in California emergency departments
December 22, 2021
TARA BANNOW
A physician group’s lawsuit against Envision Healthcare will test the limits of California’s ban on the corporate practice of medicine.
CMS finalizes new Medicare residency slot implementation
December 17, 2021
MAYA GOLDMAN
Hospitals serving the highest-need areas and unserved populations will get priority for new Medicare-funded residency slots, the Centers for Medicare and Medicaid Services said in a long-awaited final rule published Friday.
UPMC hopes in-house staffing agency will help solve nursing crisis
December 17, 2021
TARA BANNOW
UPMC is upping its game in the ongoing saga to recruit nurses by launching what it’s billing as an in-house travel staffing agency.