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The 5 fears that keep doctors up at night

October 17, 2018

From politics to financial concerns, Robert Pearl, a surgeon and former CEO of the Permanente Medical Group, in a Forbes article breaks down the "five intense fears" plaguing doctors today.

New BPCI model launches with 1.3K participants. How are providers feeling about it?

October 10, 2018

CMS' Bundled Payments for Care Improvement-Advanced Model launched Monday with 1,299 participating entities, and while some participants are excited about the model's prospects, others already are contemplating leaving the model.

Judge orders CMS to pay $1.2M in cost-sharing reduction payments to co-op

October 9, 2018

A federal claims court judge who last month ruled that the Trump administration erred in its decision not to pay insurers cost-sharing reduction (CSR) payments is now ordering CMS to pay Montana Health co-op more than $1.2 million in CSR payments.

What Kavanaugh's confirmation means for SCOTUS' health care rulings

October 8, 2018

Supreme Court Justice Brett Kavanaugh has ruled on several high-profile health care cases that some observers say could shed light on how he would rule if cases on those issues were to reach the Supreme Court.

More rural hospitals are closing. Here's where—and why—they're shutting their doors.

October 4, 2018

A new Government Accountability Office report shows a total of 64 rural hospitals in the United States closed from 2013 through 2017, which is more than twice the number of rural hospital closures that occurred during the previous five-year period.

Congress sends bipartisan, bicameral bill to combat opioid epidemic to Trump

October 4, 2018

The 660-page legislative package seeks to address the opioid epidemic through a variety of public health initiatives to expand access to treatments for opioid use disorders, promote the development of alternative treatments for pain, and prevent the entry of illicit drugs into the United States.

SCOTUS to hear hospitals' challenge to Medicare payment change

October 2, 2018

James Segroves, a partner at Reed Smith, says the case will be the first Medicare-related case the Supreme Court will hear in several years.

CMS wants to loosen oversight of transplant programs—but not everyone thinks that's a good idea

October 1, 2018

CMS under a newly proposed rule would abandon a decades-old regulation that places hospitals at risk of losing Medicare funding if a large number of their organ transplant patients die or experience organ failure.

Hospital and other industry groups oppose CMS' proposed move to site-neutral payments

October 1, 2018

Hospital and other industry groups say CMS' proposed update to Medicare's Hospital Outpatient and Ambulatory Surgical Center Payment Systems for calendar year 2019 could inhibit patients' access to care.

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