Medicare’s Proposed Cut to 340B Drug Payments Would Hit Safety-Net Hospitals While Benefiting For-Profit Hospitals
This analysis finds that CMS’s proposed cut to Medicare reimbursement for 340B drugs, and accompanying…
Medicare’s Proposed Cut to 340B Drug Payments Would Hit Safety-Net Hospitals While Benefiting For-Profit Hospitals
This analysis finds that CMS’s proposed cut to Medicare reimbursement for 340B drugs, and accompanying increase for other outpatient services, would reduce revenues among safety-net hospitals while increasing revenues among for-profit hospitals.
A New Era of Interoperability, But Who Gets Left Behind?
CMS’s new framework sounds like a gentle opt-in. There’s no requirement to meet every standard on day one, just a commitment to work toward doing the right thing. That sounds great. But to actually participate in the network, you have to meet a baseline level of interoperability. The post A New Era of Interoperability, But…
The Healthcare Cloud Maturity Model: The Five Stages Most Health Systems Skip
The most common and most expensive misunderstanding in healthcare cloud strategy is treating the cloud as a destination you either reach or you do not, when it is really a progression through five distinct stages, each one unlocking capabilities the stage before it could not support. The post The Healthcare Cloud Maturity Model: The Five…
What Could Medicaid Work Requirements Mean for SSI Applicants?
Medicaid work requirements may make it more difficult for some SSI applicants to maintain coverage due to the added complexity of navigating the verification process for the medical frailty exclusion. KFF’s policy analysis explains why SSI applicants are particularly at risk of going uninsured under the new Medicaid rules.
Uninsured but Undaunted, a Surgical Patient Searched the Globe for a Deal
Around the end of last year, Ronmel Rangel, 63, began to feel a familiar discomfort in his lower abdomen. Twenty-five years earlier, while living in his native Venezuela, he had undergone surgery to repair a hernia on the right side of his groin. Now, the same pain had returned — on the left. This time,…
Hospice’s Bad Reputation Amid Fraud Crisis Will Hurt Patients, Industry Experts Warn
Mark Vantrease regularly sees his Vietnam War buddies over breakfast, attends his grandchildren’s Little League games, and, when he’s up to it, tends to his lush front-yard garden, which is dotted with shells retrieved from his abalone-diving days. Time is precious for him. Last year, doctors told the 76-year-old former truck driver that a combination…
Trump Has Quietly Throttled an Agency Devoted to the Safety of American Healthcare
The Trump administration has effectively shut down most of the Agency for Healthcare Research and Quality’s activities, closing the spigot on federal funding estimated to have saved thousands of lives and billions of dollars over the past 27 years by improving medical practice. In a July 15 letter, the small Department of Health and Human…
Work Requirements Target the Wrong People
By KIM BELLARD One of the key “cost savings” in last years’ Big, Beautiful Bill were work requirements imposed on most working aged beneficiaries in SNAP and/or Medicaid, despite the fact that the few times such requirements had been tried showed they were costly to implement and operate and don’t do much to increase work…
Smart Toilet Sensor Startup Is Flush with $10M Funding
Throne Science — a startup selling an AI-powered toilet camera that tracks gut health, hydration and urinary function — closed a $10 million Series A funding round. CEO Scott Hickle said the goal is to become a “smoke detector for colorectal cancer,” filling a monitoring gap he noted the wearables industry has largely ignored. The…
Included Health to Acquire Firefly Health to Expand Alternative Health Plan Offering for Employers
Included Health announced plans to acquire Firefly Health to accelerate its alternative health plan strategy for employers. The post Included Health to Acquire Firefly Health to Expand Alternative Health Plan Offering for Employers appeared first on MedCity News.
