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CMS proposes FY 2020 payment increases for inpatient rehab, psych facilities

April 19, 2019

CMS this week released proposed rules that would increase payments for inpatient rehab facilities and inpatient psychiatric facilities by 2.3%, or $195 million, and 1.7%, or $75 million, respectively, for fiscal year 2020.

How MACPAC wants to change DSH payments, Medicaid drug rebates, and more

April 16, 2019

Members of the Medicaid and CHIP Payment and Access Commission on Thursday voted to recommend Congress change statutory language governing Medicaid disproportionate share hospital payments and eliminate a cap on Medicaid drug rebates.

The highest-paid doctors (and the lowest), according to Medscape

April 12, 2019

The average physician salary rose to $313,000 in 2019—but some physicians are paid more than twice as much as others, according to the Medscape Physician Compensation 2019 report.

Sanders just revised his 'Medicare-for-All' proposal. Here's what you need to know.

April 11, 2019

Sen. Bernie Sanders (I-Vt.) on Wednesday unveiled a new version of his so-called "Medicare-for-All" legislation that would expand benefits under the bill to include long-term care coverage.

How CMS wants to ease Medicare Part D plans' transition to proposed rebate rules

April 9, 2019

If CMS moves forward with proposed changes to eliminate certain prescription drug rebates in Medicare and Medicaid plans, the agency will launch a two-year demonstration program to ease Medicare Part D plans' transition.

Why dentists are turning to medical insurance for reimbursement

April 5, 2019

Faced with low reimbursements—or flat-out denials—from dental insurers, dentists are learning to bill medical insurers for some of the services they provide.

CMS finalizes MA payment bump, risk-adjustment changes for 2020

April 2, 2019

CMS on Monday finalized payment and policy changes for Medicare Advantage and Medicare Part D plans for the 2020 coverage year.

Democrats want an investigation into Verma's spending on outside GOP consultants

April 2, 2019

A group of Democrats on Friday called on HHS' Office of the Inspector General to launch an investigation into CMS Administrator Seema Verma's use of federal funds to pay for outside Republican communications consultants to help shape her public image, after a Politico investigation revealed CMS has spent millions of dollars on contracts with external consultants.

Most children's hospitals can avoid the value-based care revolution. So why is this hospital taking the plunge?

April 1, 2019

Although value-based care models are optional for children's hospitals, Dayton Children's Hospital is choosing to take on value-based financial risk.

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