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CMS extends enforcement delay for some long-term care requirements

December 6, 2017

CMS in a recent notice says it is imposing an 18-month moratorium on enforcement activities for several portions of a final rule for long-term care facilities so the agency can "address concerns regarding the scope and timing of the revised requirements."

Moody's revises 2018 outlook for nonprofit, public hospitals to 'negative'

December 6, 2017

Moody's Investors Services projects that nonprofit and public hospitals will see their operating cash flows decline by between 2% and 4% over the next 12 to 18 months.

Patients define 'value' differently than providers do, survey finds

December 5, 2017

Bob Pendleton, the chief medical quality officer at the University of Utah who worked on the survey, says the term "value" has become political "propaganda" in the health care industry.

Despite federal parity rules, mental, medical health coverage disparities persist, report finds

December 5, 2017

Researchers say disparities exist between out-of-network utilization and reimbursement rates for behavioral health care and medical or surgical health care.

Analysts warn hospital bankruptcies could be looming

December 5, 2017

Industry observers say an increasing number of hospitals and other health care companies likely will file for bankruptcy or restructure their debt in the coming year.

CMS cancels 3 mandatory bundled payment models, scales back a 4th

December 1, 2017

CMS' new final rule eliminates three planned Medicare mandatory bundled payment models and scales back a fourth, and cancels a cardiac rehabilitation incentive payment model.

Trump’s HHS secretary nominee unveils his top 4 priorities

November 30, 2017

Alex Azar, President Trump’s nominee for HHS secretary, says lowering prescription drug prices would be one of his top four priorities if confirmed and addresses concerns about his background as a pharmaceutical executive.

CBO: Bipartisan ACA bill would not offset effects of eliminating the individual mandate

November 30, 2017

Congressional Budget Office Director Keith Hall says a bill introduced by Sens. Lamar Alexander (R-Tenn.) and Patty Murray (D-Wash.) to bolster the Affordable Care Act's exchanges would not mitigate premium increases and coverage losses that would result from repealing the law's individual mandate, but Sen. Susan Collins (R-Maine) is pushing back against that assertion.

Provider groups say future payment models under CMMI should foster transparency, balance risks

November 30, 2017

Provider groups—including the American Hospital Association, the American Medical Association, and AMGA—in comments expressed support for CMS' Center for Medicare and Medicaid Innovation, but argued new alternative payment models should be transparent and adequately pay providers.

Lawsuit alleges 62 Ind. hospitals falsified meaningful use data

November 30, 2017

The lawsuit alleges that 62 Indiana-based hospitals falsified compliance data under the federal government's meaningful use program and, as a result, defrauded the government of more than $300 million in incentive payments.

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