Rural hospitals with a relatively large amount of lab revenue may be jumping through a healthcare contracting loophole.
Insurers and public officials have accused hospitals of entering lab test arrangements in which they agree to bill for high volumes of tests or expensive tests that sometimes were performed elsewhere.
The Senate Finance Committee believes global budgets would bolster struggling rural healthcare systems.
The Senate health committee took hospitals out of the 340B hot seat to focus on pharmaceutical companies. Lawmakers wanted to know how much drugmakers may be overcharging 340B hospitals for discounted drugs.
In the face of a potential government shutdown, senators are clamoring for a few extra days to work out a spending deal. Hospitals hope this means another chance to pack Medicare extenders and DSH cut delays into the final bill.
A new report from the Bipartisan Policy Center and the Center for Outcomes Research and Education finds that many stakeholders in seven rural states believe rural communities should transform their critical-access hospitals into hybrid clinics that provide primary care and emergency services.
The CMS plans to finalize an Obama-era rulemaking that updates the standards that critical-access hospitals have to meet for Medicare reimbursement. The agency estimates that implementing the rule could cost the industry $773 million to $1.1 billion.
Rural hospitals are worried Congress' delay in funding now-expired Medicare extenders will throw them into more financial instability as the providers face a continuing crisis of closures.
With higher rates of Medicaid patients, rural hospitals would be hit harder than their urban counterparts if Medicaid expansion ends as proposed in the new Graham-Cassidy bill.
Rural hospitals, already struggling after years of cuts to the growth of Medicare reimbursement, fear the plan to end Medicaid expansion and drop billions from the program would mean many would have to close their doors.
Telemedicine has become mainstream enough that vendor Teladoc could soon provide post-surgical patients at Jefferson Health in Philadelphia the option of virtual after-care checkups, Teladoc CEO Jason Gorevic said Tuesday.
Since opening a single clinic on the Upper East Side in 2010, urgent-care chain CityMD has grown to 68 locations in three states. Its New York storefronts, which provide convenient walk-in health care to residents, have become as ubiquitous throughout the city as bank branches and Duane Reades.