The agency wants to pay home health agencies for the quality of care they provide, instead of the quantity of services delivered. In a new rule released Monday, CMS proposed expanding its Innovation Center’s value-based purchasing model — which previously operated in nine states — nationwide effective Jan. 1, 2022.  

Temple University Hospital lost a bid to challenge its reassignment to a lower-paid geographic area for purposes of calculating its Medicare payments because it didn’t pursue an administrative action first, the Third Circuit said. The Medicare Act requires hospitals objecting to their operating cost reimbursements to present their claims to the Provider Reimbursement Review Board, […]

Medicare Program; Modification of Limitations on Redesignation by the Medicare Geographic Classification Review Board (MGCRB) FY22 IPPS Proposed Rule FY22 IPPS Proposed Rule – CBSA FY22 IPPS Proposed Rule – Imputed Floor

On Wednesday, Sen. Patty Murray (D-Wash.), chairwoman of the Senate Health, Education, Labor and Pensions (HELP) Committee, and Rep. Frank Pallone Jr. (D-N.J.), chairman of the House Energy and Commerce Committee, issued a public request for information to solicit feedback on different aspects of the bill.   “We believe bold steps are necessary in order to achieve universal coverage and […]

Lobbyists and stakeholders are urging the incoming Biden administration to tackle health care changes through an administrative lens, coming as the courts face pressure to watch how the new administration acts on key policies before moving on cases involving regulations like the public charge rule. Health care advocates also enter 2021 with ambitious legislative agendas, […]