Reimbursement
The DOJ alleges the entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage plans.
There are a record-breaking 12.2 million people enrolled in the federal and state marketplaces, HHS says.
CMS is exploring a new rule due to concerns raised and operational challenges.
Applications for the relief distributions open up on September 29.
The organizations recommended HHS build in flexibilities and payment for APM participants to strengthen their focus on addressing inequities.
Central line infections increased by at least 46%, compared to 2019.
Patient volume increases and cost reduction measures led to significant revenue increases, which were hampered in 2020 by COVID-19.
More patients is resulting in a self-induced postponement of non-emergent surgical cases, resulting in lower hospital revenues.
The findings have implications for the healthcare industry, suggesting that another wide-scale pandemic could strain hospital staffs and resources.
A federal appeals court rejected the group’s latest attempt to get higher reimbursements for the outlier payments they received from 2008 to 2011.