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 Centers for Medicare & Medicaid Services (CMS) proposed rule were due Tuesday.
Rural hospitals risk closure with funding bill's Medicaid cuts, Senate Dems, industry say
Hundreds of rural hospitals teetering on the edge of financial collapse could be pushed over the edge by healthcare funding cuts and other changes to coverage eligibility included the reconciliation package passed last month in the House of Representatives, according to a trio of recent analyses.
Prior authorizations are increasingly straining the healthcare industry, according to a survey of 1,000 practicing physicians in the U.S. The American Medical Association conducted the survey, which included 400 primary care physicians and 600 specialists, in December. Prior authorizations impose significant costs on the industry through additional unnecessary office visits, immediate care visits and hospitalizations, the survey found.
Medicare's key advisory panel has released its latest report to Congress, and analysts note that spending on supplemental benefits in Medicare Advantage (MA) has grown significantly over the past several years. The Medicare Payment Advisory Commission (MedPAC) report (PDF) estimates the government will pay MA plans about $86 billion in rebates to provide supplemental benefits to enrollees, which amounts to about 17% of total payouts in the program, or about $2,530 per person.
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 Centers for Medicare & Medicaid Services (CMS) proposed rule were due Tuesday.
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