Plus, CMS mulls $375M pay cut to home health

This Week

Jul 8, 2023

Biden administration aims to crack down on short-term health plans, surprise medical billing


VA, Stanford Medicine unveil plans to develop new comprehensive cancer center in Palo Alto


CMS proposes $375M cut to home health Medicare payments in 2024


South Dakota expands Medicaid coverage under ACA


Baylor Scott & White Health adds 41 Texas urgent care centers with NextCare partnership - Heather Landi

 

Featured

Biden administration aims to crack down on short-term health plans, surprise medical billing

The White House proposal would reverse a controversial Trump-era rule that expanded the duration of short-term health plans, or what critics refer to as "junk" plans.
18-19
Jul
July 18-19, 2023 | Jersey City, NJ
 

Top Stories

VA, Stanford Medicine unveil plans to develop new comprehensive cancer center in Palo Alto

Stanford Medicine and the VA unveiled plans on Friday to collaborate on a project that will bring a new National Cancer Institute-designated joint cancer care and research center to the VA Palo Alto campus.

CMS proposes $375M cut to home health Medicare payments in 2024

The Biden administration issued a proposal Friday to cut reimbursements to home health providers by 2.2% next year, or an estimated $375 million less than 2023 payment levels.

South Dakota expands Medicaid coverage under ACA

Low-income adults in South Dakota are now eligible for expanded Medicaid access under the Affordable Care Act, while 11 states hold out on approving the expansion.

Baylor Scott & White Health adds 41 Texas urgent care centers with NextCare partnership

The deal comes less than two months after for-profit competitor HCA Healthcare opened its purse to acquire dozens of additional urgent cares in the Lone Star State.

Home care industry group sues to block 2023, 2024 Medicare payment cuts it claims are unlawful

The National Association for Home Care and Hospice alleges that CMS "arbitrarily and capriciously" set payment adjustments in the Home Health Prospective Payment System final rule for 2023 that conflict with Congress' requirement that a shift away from therapy-based pay incentives be budget neutral.

HITLAB summit warns that digital health for all will need careful investment

Columbia University hosted the second annual HITLAB Innovators Summit in New York City where industry insiders trumpeted the potential for digital health interventions while warning of the dangers of unchecked tech implementation.

Medicare Advantage's quality bonus program needs an overhaul: Urban Institute

The Medicare Advantage Quality Bonus Program suffers from what some experts call the “Lake Wobegon Effect”: Too many plans are rated above average. A new Urban Institute report suggests some cures.

DocGo unveils new payer partnerships, multiyear targets during investor day

The company announced new payer agreements with EmblemHealth and Blue Cross Blue Shield of Tennessee, representing an additional 6.7 million covered lives. DocGo expects to surpass $500 million in revenues in 2023.

From comfort dogs to companions for seniors, providers and startups are defining the future of 'healthcare'

As the industry pursues value-based care and payment models, health systems, hospitals, providers and startups are exploring interventions and programs that a generation ago would have not been considered "healthcare."
 
Fierce podcasts

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'Podnosis': Medicaid eligibility determinations, healthcare for the LGBTQ+ community

This week on "Podnosis," we talk about the role commercial insurers play in Medicaid eligibility determinations. Also under discussion is healthcare for the LGBTQ+ community.
 

Resources

Whitepaper

What Today’s Healthcare Consumers Expect

Huron’s healthcare consumer survey reveals how consumer preferences and expectations are changing and influencing the healthcare industry.
Research

How a Cancer Center Reduced Care Variation Using an Oncology-Specific Clinical Decision Support Tool

Learn how a cancer center reduced care variation and increased clinician adoption of clinical decision support technology.
Whitepaper

Why Your Cancer UM Strategy needs to Include Digital Health

Does your cancer cost containment strategy stop with utilization management and prior authorization? Download this white paper to understand ways that digital care management helps address total cost of care for your plan, your employers, and your members
Whitepaper

Navigating succession planning challenges in healthcare facilities management

Did you know it takes six to nine months to fill healthcare facilities manager vacancies? The time for organizations to focus on succession planning is now.
 

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