2+ hour, 41+ min ago   (308+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will require most eligible hospitals to participate in a national episode-based payment model for hip, knee and ankle replacements beginning in January 2028, expanding Medicare’s use of financial incentives tied to costs and recovery…...

1+ day, 2+ hour ago   (388+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will end a temporary premium-stabilization program for standalone Medicare drug plans after 2026, returning Part D to traditional market conditions as insurers prepare their 2027 offerings. CMS disclosed the change July 28 as part of its…...

2+ week, 12+ hour ago   (462+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has outlined a broad strategy to overhaul Original Medicare by expanding accountable care, revising physician payment methods, increasing price transparency and modernizing claims processing in an effort to curb costs while improving care…...

2+ week, 1+ day ago   (389+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will shorten routine inspections for roughly 12% of U.S. nursing homes beginning in September, redirecting limited state oversight resources toward facilities where residents face greater health and safety risks. The risk-based survey process will…...

4+ week, 2+ day ago   (523+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has proposed sweeping changes to Medicare outpatient payment policies for 2027, including lower payments for certain hospital drugs and imaging services, in a move the agency estimates could save beneficiaries and taxpayers billions of…...

1+ mon, 10+ hour ago   (331+ words) PHILADELPHIA, PA — Healthcare technology company Lyric reports that major health insurers are using new artificial intelligence-driven orchestration capabilities in its Lyric42 platform to coordinate payment decisions and reduce administrative costs tied to claims processing and payment disputes. The platform’s new capabilities…...

1+ mon, 6+ day ago   (481+ words) WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services has proposed increasing payments to dialysis providers by about 1.1% in 2027 and overhauling several quality measures, changes that would affect approximately $6.2 billion in annual Medicare spending on care for patients with end-stage renal disease....

1+ mon, 3+ week ago   (361+ words) RADNOR, PA — Hidden River Strategic Capital has invested in Northstar Senior Living in connection with its merger with Alta Senior Living, providing financing to support the integration of the two senior living management companies and future expansion efforts. The combined…...

2+ mon, 1+ week ago   (393+ words) HARRISBURG, PA — The Pennsylvania Office of Attorney General reached an agreement with GEICO requiring changes to the insurer’s policy cancellation and underwriting review practices after a state investigation found a West Philadelphia driver lost coverage following an artificial intelligence-assisted review…...

4+ mon, 4+ hour ago   (408+ words) WASHINGTON, D.C. — Medicare beneficiaries could see clearer plan choices, lower prescription drug costs, and fewer administrative hurdles under a new federal rule set to take effect in 2027. The changes, finalized by the Centers for Medicare & Medicaid Services, update how Medicare Advantage…...