CMS removes prior authorization for select orthopedic devices

Regulators continue to adjust prior authorization guidelines as they try to boost high-value procedures and limit administrative burden.  »

Inpatient hospitals get 4.3% Medicare reimbursement bump

The final rule for Medicare hospital inpatient reimbursement includes a larger raise than proposed earlier this year.

CMS hikes Medicare pay for rehab, psychiatric and hospice providers

The finalized rates are slightly higher than the updates proposed in March, which providers said were inadequate.

Yuvo Health, Centene's Fidelis Care target New York for partnership

Yuvo has plans to expand beyond New York into other states, beginning next year.

Providers, insurers poised for 'bloody' negotiations amid inflation

Expect more contract disputes as labor and supply costs rise for providers, and payers look to curb premiums.

Mayo Clinic, UnitedHealthcare reach network agreement

The agreement comes six months after the Mayo Clinic stopped accepting appointments for out-of-network patients.

CMS proposes pay boost for ESRD facilities

The agency also asks for more information on how to measure home dialysis quality.

Hospitals call Medicare pay proposal 'woefully inadequate'

CMS proposed raising inpatient reimbursement 3.2% next year, which hospital groups say doesn't account for rising costs.

Preventive care may be free, but follow-up diagnostic tests can bring big bills

If a screening returns an abnormal result and a healthcare provider orders more testing to figure out what’s wrong, patients may be on the hook for hundreds or even thousands of dollars for diagnostic services.

COVID-19 test demand a boon for labs, a bane for costs, study finds

Labs earn at least $10 in profit per PCR test and that expense is likely borne by health insurance policyholders and taxpayers.