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Elevance, UnitedHealth among insurers accused of alleged price fixing
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Cleveland Clinic and Amazon One Medical collaborate
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Survey: Almost a quarter of Americans underinsured
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HHS, Illinois reach agreement on disability rights
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Express Scripts, Caremark, OptumRx sue FTC
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Reproductive care, including abortion, facing challenges
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Telehealth prescribing of controlled drugs extended
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Cardinal Health set to acquire two companies for combined $3.9B
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Top Stories
Elevance, UnitedHealth among insurers accused of alleged price fixing
J&J sues HRSA for blocking 340B plan
Telehealth prescribing of controlled drugs extended
Prospective Payment System
Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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Nov 05 | Jeff Lagasse
CMS gives renal dialysis facilities a 2.7% increase
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
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Nov 05 | Jeff Lagasse
AHA criticizes 2.9% increase in CMS' OPPS final rule
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
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Oct 23 | Susan Morse
Providence Health & Services in Oregon optimizes value-based care
Risk-based contracts became a financial lifeline for a challenging payer mix in southern Oregon, says Chief Executive Chris…
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Sep 25 | Jeff Lagasse
Cardinal Health to acquire Integrated Oncology Network for $1.1B
Cardinal Health says the transaction is part of its effort to help community healthcare providers maintain their independence.
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Aug 02 | Susan Morse
Hospitals get 2.9% payment increase in final rule
For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.
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Aug 01 | Jeff Lagasse
Inpatient rehab facilities get 3% payment increase
CMS finalized the update to the IRF PPS payment rates by 3%, based on the final IRF market basket update of 3.5%.
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Aug 01 | Jeff Lagasse
CMS updates SNF payments in new rule
There will be a net increase of 4.2%, or approximately $1.4 billion, in Medicare Part A payments to SNFs next year.
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Jul 10 | Susan Morse
Outpatient, ambulatory surgical centers get a 2.6% pay increase in proposed rule
The proposed rule updates rates for intensive outpatient services at hospital outpatient departments and…
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Jun 28 | Susan Morse
Dialysis providers get a 2.2% payment boost
The rule also proposes to extend Medicare payment to dialysis in the home setting for beneficiaries with acute kidney injury.
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