MedPAC | Healthcare Finance News

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Reimbursement

Senators urge action on physician payment cut before end of lame duck session

Senators urge action on physician payment cut

Revenue Cycle Management

Trends 2025: The demand for interim revenue cycle executives

Trends 2025: The demand for interim revenue cycle executives

Strategic Planning

Advocate spending $1 billion on new hospital and outpatient services

Advocate spending $1B on new hospital and outpatient services

Capital Finance

Cigna nixes speculation of a Humana merger

Cigna nixes speculation of a Humana merger

Supply Chain

Feds shore up healthcare supply chain in wake of hurricanes Helene and Milton

Feds shore up supply chain in wake of hurricanes

Accounting & Financial Management

Healthcare expenditures rise on increased coverage and utilization

Healthcare expenditures rise on increased coverage and utilization

Budgeting

Health system operating margins declined in August

Health system operating margins declined in August

Quality and Safety

American Heart Association launching HCM initiative

American Heart Association launching HCM initiative

Billing and Collections

CFPB warns of illegal tactics by medical debt collectors

CFPB warns of illegal tactics by medical debt collectors

Claims Processing

Denials top reason for eroding provider-payer relationship

Denials top reason for eroding provider-payer relationship

Workforce

Male physicians have more net worth than female counterparts

Male physicians have more net worth than females

Operations

Healthcare execs more optimistic heading into the new year, survey finds

Health execs more optimistic heading into 2025

Medical Devices

Healthcare chatbots may promote racist misinformation

Healthcare chatbots may promote racist misinformation

Hospital/physician relations

Hospitals, physicians submit opposing views to FTC ruling on noncompetes

Hospitals, physicians submit opposing views to FTC ruling

Construction & Facilities Management

Children's Medical expands with new patient tower

Children's Medical expands with new patient tower

Compliance & Legal

Nebraska sues Change Healthcare over ransomware attack

Nebraska sues Change over ransomware attack

Policy and Legislation

Telehealth gets short extension, physician pay is cut in spending bill

Telehealth gets short extension, physician pay is cut in spending bill

Community Benefit

AMA pushes for stricter standards for hospital charity care policies

AMA pushes for stricter standards for hospital charity care policies

Accountable Care

NAACOS pushes ACO REACH extension after $1.54B in savings

NAACOS pushes ACO REACH extension

Acute Care

SDOH, tech key to advancing value-based care, says UHG

SDOH, tech key to advancing value-based care

Ambulatory Care

Cleveland Clinic and Amazon One Medical collaborate on primary care clinics

Cleveland Clinic and Amazon One Medical collaborate

Analytics

Interoperability in healthcare moving forward despite challenges

Interoperability in healthcare moving forward despite challenges

Business Intelligence

HIMSSCast: Research as restorative physician medicine

HIMSSCast: Research as restorative physician medicine

ICD-10 & Coding

Physician practices examine risk adjustment coding in wake of federal lawsuits

Practices keeping close watch on risk adjustment coding

Meaningful Use

Financial disincentives for providers who commit information blocking

Financial disincentives for providers who commit information blocking

Medicare & Medicaid

Medicare enrollees to pay less for 64 additional drugs

Medicare enrollees to pay less for 64 additional drugs

Patient Engagement

HHS, Illinois reach agreement on disability rights laws

HHS, Illinois reach agreement on disability rights

Pharmacy

Senate bill proposes to rein in PBMs by forcing them to sell pharmacy businesses

Senate bill proposes to rein in PBMs

Population Health

Weight loss drugs can save patients and healthcare dollars

Weight loss drugs can save patients and healthcare dollars

Risk Management

UPMC for You partners to offer Medicaid redetermination coverage in laundromats

UPMC for You offers Medicaid redetermination coverage in laundromats

Telehealth

Trends 2025: Telehealth's future faces a Friday deadline

Trends 2025: Telehealth's future faces a Friday deadline

Mergers & Acquisitions

UnitedHealth Group, Amedisys extend $3.3 billion merger agreement

UnitedHealth, Amedisys extend $3.3B merger agreement

Top Stories

UnitedHealth Group CEO Andrew Witty addresses backlash against insurer

UnitedHealth Group CEO Andrew Witty addresses backlash

Luigi Mangione indicted on first degree murder charge

Luigi Mangione indicted on first degree murder charge

Nebraska sues Change Healthcare over ransomware attack

Nebraska sues Change over ransomware attack

The Capitol at night

Dec 21 | Susan Morse

Telehealth gets short extension, physician pay is cut in spending bill

Stripped out of the final bill is a provision to prevent the 2.8% Medicare pay cut to physicians.

Senior and younger caregiver looking out a window

Dec 18 | Jeff Lagasse

Trends 2025: Medicare Advantage prospects strong despite challenges

Higher-than-expected utilization and low reimbursement have challenged the program in 2024.

U.S. capitol building at sunset

Nov 18 | Jeff Lagasse

Planned Parenthood, other groups decry executive power in House bill

The bill would grant executive authority to nix nonprofits deemed 'supportive' of terrorist organizations.

Surgeon looking at notes

Oct 31 | Susan Morse

Bill would give physicians a pay increase, block Medicare cuts

Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.

Executives smiling and shaking hands

Sep 17 | Jeff Lagasse

Insurers will make $11.8 billion in Medicare Advantage quality bonus payments

This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings…

Clinicians walking down a hospital corridor

Aug 22 | Jeff Lagasse

Medicare Advantage growth could be challenging for hospitals

The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.

Doctor looking pensive

Jul 12 | Susan Morse

Proposed physician pay decrease: 'Death by a thousand cuts continues'

Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.

Doctor on phone

May 08 | Susan Morse

Medicare Trustees warn of low physician payment

"It would be political malpractice for Congress to sit on its hands and not respond to this report," says AMA president.

Pills from bottles spill out on the counter.

Jan 04 | Susan Morse

Americans pay more for brand name drugs than in other countries

Rebates bring down prices by as much as half.

AMGA and the AHA said the proposed cuts would hinder the ability of multispecialty medical groups to provide high-quality care to their patients.

Jul 18, 2023 | Jeff Lagasse

Healthcare groups prod Congress to stop CMS' payment cuts

AMGA and the AHA said the proposed cuts would hinder the ability of multispecialty medical groups to provide high-quality care to…

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Healthcare organizations ask HHS to delay quality measure reporting for ACOs

Healthcare organizations ask HHS to delay quality measure reporting for ACOs The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.