Wednesday, November 2, 2022: Payers

Two Axios articles examine how escalating health care costs could crush individuals and employers in the next year, and instigate Congress to finally take action to address underlying costs that make care increasingly unaffordable for everyday Americans. A recent...

Wednesday, November 2, 2022: Payers

The Centers for Medicare and Medicaid Services (CMS) released its Outpatient Hospital and Surgical Center Payment System Final Rule, introducing additional measures to improve access to behavioral health services. Under the final rule, clinical staff of hospital...

Tuesday, November 1, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2023 Home Health Prospective Payment System (HH PPS) Rate Update final rule, revealing that home health providers will avoid significant Medicare pay cuts next year. The agency...

Monday, October 31, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) issued a new rule that creates Special Enrollment Periods for people to enroll in Medicare. The rule aims to reduce disparities in care and promote health equity by eliminating barriers to enrollment. It...

Friday, October 28, 2022: Payers

The Medicaid and CHIP Payment and Access Commission (MACPAC) is urging more transparency from the Centers for Medicare & Medicaid Services (CMS) and states on the unwinding of the COVID-19 public health emergency (PHE) and Medicaid redeterminations. The panel...

Friday, October 28, 2022: Payers

Humana announced it is partnering with Monogram Health to offer value-based kidney care in four states. Eligible Medicare Advantage (MA) HMO and PPO members in Tennessee, Alabama, Louisiana, and Mississippi can access Monogram’s specialized offerings, including...