CMS is curtailing voluntary participation in the Comprehensive Care for Joint Replacement bundled payment model
Hospitals that participated in the Comprehensive Care for Joint Replacement model on a voluntary basis over the last three years will be excluded after Sept. 30.
In a win for hospitals, CMS removes a rate-reporting requirement from the Medicare FY22 Inpatient Prospective Payment System
An FY22 requirement for hospitals to disclose privately negotiated MA rates on their Medicare cost reports has been rescinded in the proposed rule for the Inpatient Prospective Payment System.
Key payment details in the Medicare FY22 Inpatient Prospective Payment System proposed rule
CMS’s FY22 proposed rule for the Inpatient Prospective Payment System includes a 2.8% payment increase for general acute care hospitals.
Update on Medicare payment policy for treatments involving bamlanivimab
Medicare no longer will pay healthcare providers for administering the COVID-19 treatment bamlanivimab now that the FDA has revoked the Emergency Use Authorization for treatments in which the drug is administered alone.
CMMI announces Direct Contracting participants but cancels second round of applications
The Center for Medicare & Medicaid Innovation announced the 53 entities that have been accepted as participants in the new Global and Professional Direct Contracting model.
HHS delays implementation of rule requiring FQHCs to provide insulin, epinephrine at 340B prices
HHS has postponed a Trump administration regulation that would require federally qualified health centers to make certain drugs more affordable for low-income patients and will consider whether to withdraw the rule altogether.
Disproportionate Share Hospital funding to states doesn’t match up with key benchmarks, report finds
Disproportionate Share Hospital payments don’t always align with key metrics such as uninsured rates and uncompensated care costs, a new policy report finds.
RAND report finds regulating hospital prices would be the most effective way to reduce healthcare spending, but are the proposals viable?
The American Hospital Association had a negative reaction to study findings showing that regulation of hospital prices would be the most effective way to reduce prices paid by commercial insurers.
Hospital groups ask Supreme Court to reverse payment cuts to 340B hospitals, off-campus provider-based departments
The American Hospital Association and other hospital groups are challenging 2020 appeals court decisions that allow HHS to continue slashing payments to 340B hospitals and to off-campus provider-based departments.
Biden’s order to reopen the ACA marketplaces next month draws praise from hospitals
An executive order by President Joe Biden directed HHS to open the Affordable Care Act marketplaces for three months starting in mid-February.