Federal appeals court limits hospitals' disproportionate-share funding

Hospitals that care for a large share of Medicaid and uninsured patients stand to receive less funding from the federal government after the D.C. Circuit reconfigured Medicaid disproportionate-share hospital reimbursement.  »

Hospitals call for overhauling Medicare Advantage prior authorization rules

Hospitals and health systems are demanding that the CMS set national rules for how insurers manage prior authorization and payment for pre-approved claims in Medicare Advantage.

Title X family planning clinics must show they're not giving abortion referrals

Under new HHS guidance, clinics receiving Title X funding will need to show they're not referring patients for abortions. But opponents of new regulations are still waiting on the courts to see how much will truly change.

Rural hospitals take spotlight in coverage expansion debate

New analysis commissioned by opponents of a Medicare public option say the policy could drive more rural hospital closures—bringing a sensitive political issue into the coverage debate.

Medicare proposes range of pay cuts, increases for outpatient services

Paying for joint replacements in outpatient settings would force hospitals to scramble to retain this lucrative line of business.

CMS finalizes rural wage index boost

The CMS is moving forward with its wage index increase for rural hospitals, as well as a pay boost for CAR T-cell therapy.

Some hospitals are already offering price estimates

As the healthcare industry at large deliberates how to address patients' mounting out-of-pocket costs, some hospitals are already tackling the problem in their own backyards.

CMS eyes smaller 340B hospital pay cuts in case of court loss

The CMS proposed a much smaller pay cut for 340B hospitals in its outpatient pay rule as its court-mandated "remedy" in case the Trump administration loses its appeal.

CMS proposes requiring hospitals to publish negotiated rates

The CMS issued several proposed rules that it hopes will make it easier for patients to understand the cost of a hospital service before accessing care and help physicians focus on high-value care rather than paperwork.

Utah waiver denial dooms states' hopes for partial Medicaid expansion

The CMS' rejection of Utah's partial Medicaid expansion plan likely ends states' hopes for a smaller, cheaper expansion program.