• Senate Finance contemplates physician payment reform

    May 20, 2024 - The Senate Finance Committee recently released a white paper outlining where it sees opportunities to reform Medicare physician payment to improve the delivery of chronic care and improve the Physician Fee Schedule’s value to clinicians and beneficiaries. Senators identified changes to Medicare fee-for-service (FFS) through the Physician Fee...

  • Hospital profitability dips as expenses bog down margins

    May 6, 2024 - Hospital profitability has hit a snag after a relatively strong first quarter, according to the latest data from healthcare consulting firm Kaufman Hall. The April 2024 “National Hospital Flash Report” reports a 0.2 percentage point drop in Kaufman Hall’s calendar-year-to-date operating margin index. The index came in at 3.9% in...

  • Market consolidation worse among payers than health systems

    May 2, 2024 - There has been a large focus on how market consolidation among hospitals and health systems, including physician practice acquisitions, affects competition, pricing, and access to care. However, new data from the Association of American Medical Colleges (AAMC) shows that health payers are actually more consolidated than health systems. The data...

  • CMS sets minimum staffing standards for nursing homes

    April 23, 2024 - A new final rule from CMS establishes minimum staffing standards for nursing homes at a national level for the first time in history. The rule states that nursing homes participating in Medicare and Medicaid must provide residents with a minimum of 3.48 hours of nursing care per day. The new staffing standard includes at least 0.55 hours of care...


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Senate Finance contemplates physician payment reform

The Senate Finance Committee recently released a white paper outlining where it sees opportunities to reform Medicare physician payment to improve the delivery of chronic care and improve the Physician...

Physician practices earned large financial bonuses under BPCI-A

Physician practices fared just as well as their hospital counterparts in CMS’ flagship bundled payments program, the Bundled Payments for Care Improvement Advanced (BPCI-A) Model. A new study in...

RAND: Hospital prices 254% higher than Medicare rates

Employers and private payers pay significantly more for hospital-based services compared to Medicare, according to a new study from RAND Corporation that has hospitals riled up. The study, funded by...

DoJ forms task force on competition, monopolies in healthcare

The Department of Justice (DoJ) recently announced the formation of a task force dedicated to investigating competition in healthcare. The Task Force on Health Care Monopolies and Collusion (HCMC)...

Public, not nonprofit hospitals use 340B to expand services

A new study published in JAMA Health Forum finds participation in the 340B Drug Pricing Program helps public but not nonprofit hospitals sustain unprofitable service lines, like psychiatric...

Pandemic volume changes underscore rural hospital concerns

A new study in Health Affairs finds that rural hospitals experienced more variability in patient volume during the first two years of the COVID-19 pandemic than their urban counterparts. However, these...

Medicare funds slated to run out by 2036 without changes

Medicare money will dry up in a little over a decade, according to the latest the federal program’s trustees. The trustees’ annual report to Congress estimates that Medicare’s...

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