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- Jun 15, 2026earliest in window
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News
Medical supply companies banned in $3.4B fraud takedown
4+ day, 8+ hour ago (393+ words) The CMS has banned 11 medical supply companies from billing Medicare Advantage and Part D, including four that had already been barred from Traditional Medicare, after identifying more than $3.4 billion in alleged fraudulent billing practices over the last two years. The…...
Hospital rate caps could slash health costs by $1T over a decade
2+ week, 4+ day ago (749+ words) As the U.S. grapples with exorbitantly high healthcare costs, a new study suggests capping hospital rates could reduce overall spending by hundreds of billions of dollars. The U.S. spent $5.7 trillion on healthcare last year, federal actuaries reported in June. This marked the…...
Hospitals feel payer mix shifts as uncompensated care costs grow
2+ week, 5+ day ago (743+ words) AndreyPopov/istock via Getty Ima Hospitals are already seeing uncompensated care costs swell as the U.S. faces a major shift in healthcare coverage, according to new hospital financial performance data. The data from Kaufman Hall, a Vizient company, shows that bad…...
Employee health benefits to spike 9.5% in 2027
2+ week, 6+ day ago (520+ words) AndreyPopov/istock via Getty Ima Employers can expect to pay 9.5% more for employee health benefits in 2027, with new reporting from professional services firm Aon projecting average employee healthcare costs totaling more than $19,000 in the coming year. These numbers reflect the…...
How providers can weather Medicaid cuts when many won't
3+ week, 3+ day ago (1417+ words) Recent Medicaid and Affordable Care Act changes will have a widespread impact on healthcare providers, whether they work for large health systems or small ambulatory practices. However, some types of providers stand to lose more than others, and the effects…...
CMS fraud war room stops $203M in debated Medicaid payments
1+ mon, 2+ week ago (682+ words) The Centers for Medicare and Medicaid Services is already lauding a new Medicaid fraud effort to be successful in its first 90 days after identifying more than $203 million in potentially improper payments to the federal program. The Medicaid Fraud War Room…...
OIG calls on states to tamp down Medicaid provider fraud
1+ mon, 2+ week ago (652+ words) Flavijus Piliponis â stock.ado The HHS Office of Inspector General wants states to ensure stronger contractual obligations with Medicaid managed care organizations to flag Medicaid provider fraud, the agency wrote in a recent report. Specifically, OIG called for CMS…...
Pharma loses appeal to change 340B drug discounts to rebates
1+ mon, 3+ week ago (714+ words) SirVectorr/istock via getty imag A federal appeals court has dealt a blow to pharmaceutical manufacturers' attempts to restructure the 340B drug discount program -- a decision that preserves billions of dollars in savings for safety-net hospitals and clinics. Issued on July…...
ACA premiums set to surge 14% as tax credits expire
2+ mon, 5+ day ago (810+ words) AndreyPopov/istock via Getty Ima Payers participating in the ACA Marketplace have proposed a median premium increase of 14% for 2027 -- the second-highest rate hike since 2018 -- as the expiration of enhanced premium tax credits reshapes their risk pools and leaves millions without…...
CMS proposes expanded authority to revoke Medicare privileges
2+ mon, 1+ week ago (904+ words) The Trump administration wants to double down on its healthcare fraud, waste and abuse crackdown. This time, policymakers are seeking to expand CMS' powers to remove providers from Medicare -- a move that the agency says will save taxpayers about $82 million…...