News
CMS proposing 1. 9% hike for ESRD facilities
9+ mon, 1+ week ago (404+ words) The Centers for Medicare and Medicaid Services has issued a proposed rule that would increase total payments to all end-stage renal disease facilities by about 1. 9%, bringing the ESRD Prospective Payment System base rate to $281. 06. The proposed rule also includes a…...
Hospice 2. 4% pay bump is 'cause for concern"
6+ day, 10+ hour ago (355+ words) The Centers for Medicare & Medicaid Services has proposed a 2. 4% payment increase for hospice providers for 2027. This is an estimated increase of $785 million in payments from 2026." Hospices that do not submit the required quality data would see a decrease of 4 percentage…...
Inpatient and long-term care hospitals get proposed 2. 4% payment increase
16+ hour, 49+ min ago (681+ words) Hospitals get a 2. 4% rate increase for inpatient payments in a'proposed rule'released on Friday. The increase reflects a projected FY 2027 hospital market basket percentage increase of 3. 2%, reduced by a 0. 8 percentage point productivity adjustment. To earn the full rate update, hospitals participating…...
Skilled nursing facilities get a proposed 2. 4% increase
5+ day, 10+ hour ago (353+ words) Skilled nursing facilities will get a 2. 4% payment increase for fiscal year 2027, according to a proposed rule released last week. The Centers for Medicare and Medicaid Services'proposes to update the Skilled Nursing Facility Prospective Payment System SNF PPS rates by 2. 4%, based…...
Alliance of companies will help accelerate $50 billion in rural health programs
1+ mon, 3+ week ago (259+ words) Arcadia, Castlight Health, Covista, Mission Mobile Medical, Telemedicine. com, Tru Bridge and Walgreens have come together in an alliance to help state and local markets execute the spending of $50 billion in the Rural Health Transformation program. The companies are part…...
Medicare Advantage insurers get a 2. 5% payment increase
6+ day, 11+ hour ago (377+ words) Medicare Advantage insurers are getting a 2. 48% payment increase for 2027, which is more than the 0. 09% increase proposed in the January Advance Notice. The final policies in the 2027 rate announcement are expected to increase insurer payments by over $13 billion in 2027. When accounting…...
CMS finalizes star ratings changes that are expected to increase insurer payments
1+ week, 10+ hour ago (444+ words) The Centers for Medicare & Medicaid Services has revised the Medicare Advantage star ratings system in a final rule that is expected to give MA insurers $18. 6 billion over the next decade. The changes are expected to'boost star ratings, which will increase…...
Exploring TEFCA's potential to empower rural providers
3+ day, 12+ hour ago (36+ words) Healthcare Finance News Healthcare Finance Newsletters give healthcare decision-makers insight into the latest financial and payer developments in the business of healthcare. Add Healthcare Finance News to your network....
Jefferson Health sues Aetna over Medicare Advantage payment policy
4+ day, 10+ hour ago (366+ words) Jefferson Health, which is part of Thomas Jefferson University, and Lehigh Valley Physicians Hospital Organization have sued Aetna over its policy on payment of Medicare Advantage claims. The lawsuit was filed Monday in the federal court in Pennsylvania. Jefferson Health…...
CMS updates psychiatric and rehab payments
4+ day, 10+ hour ago (215+ words) The Centers for Medicare and Medicaid Services has updated proposed payments for inpatient psychiatric facilities and also for rehabilitation care. The proposed payment increases of 2. 3% for psychiatric care and 2. 4% for rehab are lower than last year's final rule increases. For…...