Modern Healthcare Staff Victoria Turner See All Staff Page Recent Stories HHS proposes restoring limits on short-term health insurance The Biden administration aims to roll back Trump-era regulations allowing consumers to enroll in short-term, limited-duration health plans for up to 364 days. Providers react to Medicare payment proposed rules Nursing homes, rehab providers and psychiatric hospitals urged the Centers for Medicare and Medicaid Services to account for economic conditions in fiscal 2024 rates CMS proposes 2.2% Medicare pay cut for home health providers Home health industry groups blasted the proposed Medicare payment rule, contending that a flawed methodology would cause financial struggles and curtail access to care. Hospitals urge CMS to weigh rising costs in Medicare pay rule The hospital industry wants CMS to consider inflation, workforce shortages and rising costs when calculating fiscal 2024 reimbursements for the Hospital Inpatient Prospective Payment System final rule. Providers, CMS pin hopes on revised Medicare Shared Savings Program ACOs The deadline for accountable care organizations to join the Medicare Shared Savings Program is here, with big stakes for the Centers for Medicare and Medicaid Services' long-term goals. U.S. health spending projected to exceed $7T in 2031 National health expenditures will increase an average of 5.4% each year from 2022 to 2031, according to the latest projections from the Centers for Medicare and Medicaid Services' Office of the Actuary. CMS reiterates call to action on Medicaid terminations The Centers for Medicare and Medicaid Services is urging states to take advantage of federal regulatory flexibilities to ease Medicaid redeterminations and avoid mass disenrollments. HHS offers Medicaid redetermination help amid coverage losses Health and Human Services Secretary Xavier Becerra called on governors to make use of new flexibilities to assist in Medicaid redeterminations and avoid procedural disenrollments. CMS pilot program aims to boost value-based primary care The Centers for Medicare and Medicaid Services advances its value-based care agenda with a new initiative in Colorado, Massachusetts, Minnesota, New Jersey, New York, North Carolina and Washington state. States turn to tech to ease Medicaid redeterminations States such as Arizona, Maryland and Massachusetts are deploying technology solutions to facilitate communications with tens of millions of Medicaid enrollees as states resume eligibility checks. Administrative hurdles drive Medicaid losses during redeterminations Arkansas, Florida and Indiana disenrolled more than 80% of Medicaid beneficiaries they reviewed in April for procedural reasons, such as not having complete applications on file. FTC orders records from Zinc Health, Ascent Health as PBM probe widens The Federal Trade Commission issued compulsory orders for information on the business practices of two group purchasing organizations. CMS seeks to align Medicaid managed care, fee-for-service policies The Centers for Medicare and Medicaid Services plans to propose regulations that would align Medicaid reimbursements from managed care companies with fee-for-service rates. CMS toughens hospital price transparency enforcement The Centers for Medicare and Medicaid Services will be quicker to issue fines to hospitals that don't comply with the price transparency rule. Congress should adopt site-neutral post-acute payments: MedPAC MedPac recommends Congress lower the payments to all post-acute care settings except long-term care hospitals and look to temporarily adopt smaller, site-neutral policies. Load More Sponsored Content