Month: August 2023
On July 13, 2023, the Centers for Medicare & Medicaid Services (CMS) proposed key changes to the hospital price transparency rule. These proposed changes are meant to strengthen standards for disclosing hospital prices and provide more enforcement authority to regulators, and if finalized, will go into effect on January 1, 2024. This article provides an overview ...
The Centers for Medicare & Medicaid Services (CMS) has again suspended arbitration of out-of-network payment disputes between providers and payers due to a court order that the agency’s implementation of the No Surprises Act had run afoul of proper notice-and-comment procedure. The decision stems from a Texas Medical Association (TMA) complaint filed in the U.S. ...
As the workplace continues to evolve, employers will need to offer a wider variety of benefit options to meet the expectations of different generations within their workforce. “Since the pandemic, employers have faced a dramatically different workforce dynamic with a sustained increase in hybrid and remote workers, which is reshaping expectations,” said Patrick Leary, corporate ...
People buy insurance to protect against unlikely but devastating events, big catastrophes that drive households and businesses to financial ruin and bankruptcy. That makes insurance most people’s first line of defense against climate disasters, which now destroy tens of billions of dollars of property in the United States every year. It makes good sense to ...
New research challenges the common idea that people need to reach a threshold of 10,000 steps per day to improve their health. Walking just 4,000 steps per day is associated with a lower risk of death, according to the analysis published Tuesday in the European Journal of Preventive Cardiology. The research pooled the results of 17 studies ...
For 2024, across 320 insurers participating in the 50 states and DC, this analysis shows a median proposed premium increase of 6%. In addition to inflation, insurers also mention changes in pandemic-related costs and the unwinding of Medicaid continuous coverage, though the latter are having a small, if any, effect on premiums.
Two major San Jose hospitals may have been impacted by a wide-ranging cyber attack that exposed patient names, ZIP codes, phone numbers and other private information from one of America’s largest healthcare providers. The list of affected facilities includes Good Samaritan Hospital and Regional Medical Center, which are both owned by the Tenessee-based HCA Healthcare. ...
The notice arrived in an envelope stamped “important information,” telling Kristin Fortner she needed to prove that she and her husband still deserved Medicaid. She filled out the form within a week of receiving it this past winter and mailed it back. So she was perplexed by a phone call almost three months later from ...
Scripta Insights, a digital health company focused on pharmacy navigation, is teaming up with Mark Cuban Cost Plus Drug Company to bring transparent drug pricing to patients. Scripta will integrate Cost Plus Drugs’ discounted pricing into its platform Med Mapper, which the company said maps every drug on the market to every possible way users ...
Lobbying groups representing different camps of the healthcare industry have come together to urge the Centers for Medicare & Medicaid Service (CMS) to reconsider “conflicting regulatory proposals” that require different electronic standards for electronic data exchanges during prior authorization. The American Hospital Association, the American Medical Association and the Blue Cross Blue Shield Association’s joint ...