Maya Goldman

Advocates for a bill to speed prior authorization decisions, which has strong bipartisan support, hope to see it included in an end-of-the-year legislative package. 

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

The consolidated dialysis market allows the largest companies to negotiate higher payments from Medicare Advantage insurers. 

The agency will phase in a negative payment adjustment over two years to accommodate providers still struggling from the COVID-19 pandemic.

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

President Barack Obama introduced the rules, President Donald Trump scrapped them and President Joe Biden wants to beef them up.

Providers that don't participate in the 340B program say CMS' plan would lead to unfair overpayments to 340B providers.

The charges against three dozen defendants coincide with an HHS warning to providers against telehealth fraud.

For a glimpse of what high Medicare Advantage penetration can mean for payment, look to the territory, industry leaders say.

CMS also offers more detail on reimbursement policy for the new rural emergency hospital designation in the proposed rule.

Texas calls the guidance an "abortion mandate," and says emergency situations may include those threatening a fetus, too.

The court's definition of the 'major questions' doctrine leaves healthcare rules in an uncertain state.

Abortions can count as stabilizing care under EMTALA regardless of state law, federal officials said.

The agency wants to change the way benchmarks for ACOs to earn shared savings are calculated, among other modifications.

The guidance is part of President Joe Biden's push to improve nursing home safety and quality amid the COVID-19 pandemic.