The Centers for Medicare & Medicaid Services (CMS) has finalized a rule that it says will address "the surge of improper enrollments" on Affordable Care Act (ACA) exchanges as well as take on wasteful spending. Theagency said late Fridaythat there are likely millions of people who were improperly enrolled in ACA exchange plans. The CMS said 5 million people may have...
The inclusion of Medicare Advantage data in hospital quality reporting, mandatory participation in a bundled payment model and, of course, annual pay increases were common refrains among hospital groups submitted feedback on the administration’s proposed Inpatient Prospective Payment Systems (IPPS) rule for fiscal year 2026. Public comments on...
The National Institutes of Health is seeking comment from industry on a new artificial intelligence strategy for the agency. Principal Deputy Director of the NIH Matthew Memoli, M.D., announced the RFI at the Coalition for Health AI’s semi-annual meeting at Stanford Medicine on Thursday. The forthcoming plan adds to the pro-AI stance of the administration and to...
On May 29, the American Medical Association (AMA) published the findings of its latest research on physician practice characteristics in 2024. “Physicians reported that inadequate payment rates, costly resources, and burdensome regulatory and administrative requirements are longstanding and important drivers of this change,” according to a press release by the AMA.
The Centers for Medicare & Medicaid Services (CMS) revealed several updates to the ACO REACH program in 2026, though the model's long-term future remains unclear. The CMS said it is making changes to the model based on preliminary data on2023 performance, which found that standard accountable care organizations saved $197.5 million in aggregate that year. New entrant ACOs, meanwhile, generated...
More than 6 in 10 survey respondents say they expect their healthcare organizations to see higher revenue from value-based care arrangements this year than in 2024, according to a joint report from the National Association of Accountable ACOs and health tech company Innovaccer. The report surveyed 168 executive and clinical leaders at health systems, accountable care...
Artificial intelligence assistants could ease the transition to value-based care for primary care practices, a new report by Phyx Primary Care found. VBC can be administratively burdensome due to its enhanced reporting requirements. Primary care practices report that the transition to VBC is often long and results in a mix of VBC and fee-for-service billing practices.
Wednesday, Senators Marsha Blackburn, R-Tenn., and Mark Warner, D-Va., introduced a bill that would increase reimbursement for remote monitoring in rural areas. Representatives David Kustoff, R-Tenn., Mark Pocan D-Wis., Troy Balderson, R-Ohio, and Don Davis, D-N.C., also introduced the Rural Patient Monitoring Access Act in the House, which would expand access...
Amid market shifts and shallower pockets, health system leaders are restrategizing. Hospitals across the country are juggling new and ongoing financial pressures, increasing digital health initiatives and the need to provide high-quality care. On Monday during a session at thesymplrHealthcare Operations Summitin Chicago, hospital leaders discussed how they...
The Peterson Center on Healthcare released a new report that recommends policymakers narrow payment guidelines for a service they think could rocket spending in the public sector. The costs of remote monitoring on Medicare have grown significantly in the years since the codes became available to providers, from $6.8 million in 2019 to $194.5 million in 2023. The services can be...
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