Reimbursement
Final rule increases payment for certain new renal dialysis drugs and biological products.
HHS released information blocking proposed rule with monetary disincentives to increase electronic health information sharing.
Payers have seen success in improving health outcomes by taking a holistic approach to member interventions, says Leah Dewey, vice president of Cotiviti.
Healthcare leaders will confront sustained upward pressure on compensation for these roles moving forward, report finds.
The associations' primary recommendation is to retire CMS' Severe Sepsis/Septic Shock Management Bundle.
Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG.
These hospitals had an average operating margin of -8.6%, compared with -1.4% for all other hospitals, based on Medicare cost report data.
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
Optum growth led the way, with the subsidiary's revenues growing 22% year-over-year to $56.7 billion.
Most of the selected diagnosis codes that Aetna submitted to CMS didn't comply with federal requirements, OIG says.