What hospital IT will look like in 2035
Giles Bruce | August 14, 2024 Better use of data and improved technology will boost clinical workflows and move more care to the home by 2035, the American Hospital Association reported Aug. 13. The AHA cited the recent Designing for 2035 analysis from management consultant Oliver Wyman. Here are eight predictions from the report on…
54% of Medicare eligibles enrolled in MA for 2024: KFF
Paige Minemyer August 13, 2024 Fifty-four percent of Medicare beneficiaries are enrolled in a private Medicare Advantage (MA) plan, and, in seven states, that figure tops 60%, according to a new report from KFF. That’s about 32.8 million people in the Medicare eligible population who had signed up for MA as of 2024. The analysts found…
CMS Finalized The IPPS Rule With a 2.9% Rate Increase. Here’s Who Could be in Trouble.
Jasmyne Ray | August 06, 2024 Despite the slight bump, rural and underserved facilities may see significant decreases in their reimbursement payments. KEY TAKEAWAYS The finalized rate is 0.3% higher than the previously proposed 2.6% increase. Payments are expected to increase by $2.9 billion. Rural hospitals may see a $400 million decrease in payments. The Centers…
Many disproportionate share hospitals face lower Medicaid payments under new final rule
Dave Muoio | February 21, 2024 Medicaid disproportionate share hospital (DSH) payments are being cut by $8 billion annually during the current and next four federal fiscal years under a new Centers for Medicare & Medicaid Services (CMS) final rule that aims to reduce overpayments. Finalized Tuesday, the rule (PDF) stems from provisions in the…
Surprise billing disputes continue to far outpace federal estimates: CMS
Paige Minemyer | February 16, 2024 The number of balance billing disputes reaching arbitration is far higher than federal projections suggested, according to new data from the Biden administration. The Centers for Medicare & Medicaid Services (CMS) issued a report this week looking at the number of surprising billing negotiations that reached the independent dispute…