Reimbursement
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
This unsustainable business model and the financial burden are passed on to providers, says Everett Wilson, healthcare regulatory attorney at Polsinelli.
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
The star rating drop will cause Centene to lose an estimated $73M in gross revenue, lawsuit says.
The payment is the largest in a healthcare antitrust case, providers say, and settles 12 years of litigation.