News
HHS Affordability Czar Says Healthcare Costs Stem From Incentives, Not Coverage
3+ hour, 3+ min ago (475+ words) Healthcare affordability czar Casey Mulligan laid out the economic philosophy guiding the Trump administration's approach to healthcare costs during a recent conference address. He argued that provider taxes and state-directed payments inflate healthcare spending far beyond Medicaid and ultimately raise…...
CMS Finalizes Rule to Simplify Payer-Provider Disputes Under No Surprises Act
1+ week, 4+ day ago (571+ words) CMS finalized a new rule aimed at streamlining the No Surprises Act's overwhelmed arbitration system. Provider groups largely welcomed the reforms " though some industry leaders said additional changes are still needed to address alleged misuse and improve transparency. The Centers…...
Debunked Episode 25: Sutter Health's Allina Health Acquisition Strategy, a Deep Dive on Doctronic
2+ mon, 6+ day ago (216+ words) In the latest episode of the Debunked podcast, Med City News Editor-in-Chief Arundhati Parmar and Samir Batra, Managing Partner of Health Innovation Pitch, discussed recent M&A deals and how bots can be manipulated. Several March M&A deals caught…...
Will Mark Cuban's Cost Plus Wellness Appeal to Employers?
2+ week, 4+ day ago (975+ words) Employer advocates said Cost Plus Wellness could help spur more direct contracting and transparency in healthcare, though they questioned whether the model can scale and adequately measure provider quality and outcomes. After disrupting the prescription drug market with Cost Plus…...
48 Groups Want Trump Administration To Improve Process to Resolve Payer-Provider Disputes
3+ week, 4+ hour ago (426+ words) A coalition of employer and consumer groups is urging the Trump administration to crack down on alleged abuse of the No Surprises Act's independent dispute resolution process. In a recent letter, a group of 48 employer and consumer organizations are calling…...
Healthcare Doesn't Need More Companies Managing Unnecessary Costs " It Needs a System Designed to Eliminate Them
3+ week, 14+ hour ago (347+ words) The United States hasn't built a healthcare system designed to lower costs. Instead, it has built an industry dedicated to arguing over them." As healthcare costs continue to climb, it raises an essential question: if the industry's primary cost-control tools…...
What Can Providers Do Differently to Get Paid Sooner?
3+ week, 1+ day ago (707+ words) A new report from Pay Zen found that providers collect just 31% of patient bills on average, even as patient payments account for a growing share of health system revenue. Pay Zen executive Tobias Mezger outlined how providers can improve the…...
Only 33% of Physicians Believe Health Plans' Prior Auth Commitments Will Make a Difference
3+ week, 5+ day ago (233+ words) A new American Medical Association survey found that most physicians remain skeptical that insurers" recent prior authorization reform commitments will meaningfully reduce delays, administrative burdens or patient harm. Last year, insurers made a series of commitments to streamline prior authorization,…...
CMS Halts New Medicare Enrollment for Hospice, Home Care Amid Fraud Crackdown
3+ week, 5+ day ago (378+ words) CMS imposed a six-month nationwide freeze on new Medicare enrollments for hospices and home health agencies as part of a broader crackdown on fraud in the sectors. On Wednesday, the Centers for Medicare & Medicaid Services implemented a six-month moratorium on…...
The Most Consequential Healthcare Market Structure Question of the Next Decade Is Sitting in a Comment Docket " It Closes June 9
4+ week, 13+ hour ago (487+ words) A comment docket dominated by hospital lobby framing produces a rule that reflects that framing. A comment docket that includes documented employer cost analysis, physician ownership experience, and market structure argument produces a different rule. The most consequential healthcare market…...