Clinics, specialty groups, and ambulatory care centers are facing systemic strains from the outpatient healthcare infrastructure, according to the Outpatient Pressure Index...Read More »
The American Hospital Association (AHA) sent comments to the Medicare Payment Advisory Commission (MedPAC) ahead of their January meeting regarding payment update recommendations. Specifically, the AHA urged MedPAC to:
Recommend higher payment updates for inpatient and outpatient
UnitedHealth Group (UHG) used “aggressive strategies” to increase its Medicare Advantage (MA) risk adjustment scores and collect higher payments from MA enrollees’ diagnoses, according to a new Senate Judiciary...Read More »
Last week, CMS announced that all 50 states will receive awards under the Rural Health Transformation Program, an initiative totaling $50 billion meant to strengthen...Read More »
Enhanced Affordable Care Act (ACA) premium tax credits, which increased subsidy amounts and expanded marketplace eligibility to households earning more than 400% of the federal poverty level, expired on December 31, 2025. With no resolution expected from congressional efforts anytime soon,...Read More »
CMS recently relaunched the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for short-term acute care hospitals, restoring these...Read More »
