CMS
publication date
Innovation
Has Remote Patient Monitoring Hit a Roadblock?
The AMA's CPT Editorial Board has hit a stalemate over proposed changes that would boost reimbursement for RPM, so what...
Payer
Medicaid Unwinding Deals Blow to Tenuous System of Care for Native Americans
13,000 tribal members have been disenrolled from Medicaid in Montana alone.
Payer
CMS Extends Medicaid Waivers to 2025
Many CMS waivers that were set to expire in 2024 are being extended.
Payer
Medicare Trustees Report: Hospital Trust Fund Extended
The report presented a significant win for hospitals, yet illustrates where more funding is needed.
Telehealth
House Committee Vote Gives Hope to Extending Telehealth, Hospital at Home Waivers
The House Ways and Means Committee has approved a bill that would extend CMS pandemic-era telehealth waivers another two years...
Payer
The First of Many Firsts: The New CMS Innovation in Behavioral Health Model
Specialty behavioral health practices will be incentivized to coordinate comprehensive health.
CMO
Prisma Health Boosts Accountable Care in Partnership with CVS Health Division
The South Carolina-based health system's ACO is working in collaboration with CVS Accountable Care.
Payer
Humana Expands Prior Auth. Partnership With Cohere Health
The platform is giving physicians faith in quick prior authorization turnaround.
Revenue Cycle
From Layoffs to Closure: The Fate of One California Hospital After Medicare Contract Termination
CMS found Stanislaus Surgical Hospital to be out of compliance with Medicare and Medicaid program requirements.
Payer
3 Health Systems Sue Aetna for Breach of Contract
One of the biggest insurers is in trouble again.