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News
HHS Finalizes $2 Billion Medicare Payment Bump for Hospitals
18+ hour, 33+ min ago (105+ words) Bloomberg Law News The Trump administration will increase Medicare payments for hospital services by 2.3%, or $2.1 billion in fiscal year 2027, according to a final rule released Friday. The final rule (RIN 0938-AV79) from the Centers for Medicare & Medicaid Services also includes a…...
Nursing Homes to See $900 Million Medicare Payment Boost
2+ day, 19+ hour ago (69+ words) news.bloomberglaw.com The Trump administration is set to increase Medicare payments to nursing homes by nearly $900 million next year. The rule also makes changes to the CMS’s skilled nursing facility value-based purchasing program by reducing payments to these facilities…...
Cigna Must Defend Some Claims in NJ Hospitals’ $100 Million Suit
2+ week, 2+ day ago (107+ words) Bloomberg Law News Three New Jersey hospitals accusing Cigna Health & Life Insurance Co. of underpaying thousands of claims totaling more than $100 million on Thursday convinced the Third Circuit to revive portions of their lawsuit. The hospitals can press claims that…...
Medicare Agency Proposes Wide-Ranging Changes to Doctor Payments
2+ week, 3+ day ago (79+ words) Bloomberg Law News The Centers for Medicare & Medicaid Services on Tuesday proposed a series of changes to physicians’ Medicare pay in a wide-ranging annual rule. The proposed rule affects the physician fee schedule under the Medicare Part B outpatient program,…...
Appeals Court Rejects Insurer’s Challenge to MA Star Ratings
2+ week, 3+ day ago (98+ words) Bloomberg Law News A panel of D.C. Circuit judges ruled for the Trump administration in the case of an insurer seeking to overturn its Medicare Advantage star ratings. Alignment Healthcare Inc. sued the Centers for Medicare & Medicaid Services in January 2025 to…...
Medicare to Raise Home Health Agencies’ Pay, Add Fraud Measures
4+ week, 2+ day ago (118+ words) Bloomberg Law News Home health agencies in 2027 could see their Medicare payments increase by 2.4%, or roughly $420 million, under a proposed HHS payment rule released Wednesday that also targets fraud in the federal health program. The proposal (RIN 0938-AV80) from the Centers…...
Retiring Health Panel Republican’s Medicare Bill Passes House
1+ mon, 1+ day ago (51+ words) Bloomberg Law News A bipartisan bill aiming to reduce reporting burdens on groups of physicians and hospitals who coordinate to improve care for Medicare beneficiaries sailed through the House on Monday. Learn more about Bloomberg Law or Log In to…...
BGOV Bill Analysis: H.R. 5347, Accountable Care Group Metrics
1+ mon, 2+ day ago (78+ words) Bloomberg Law News Accountable care organizations would maintain flexibility in how they can report quality metrics through 2029 under H.R. 5347. ACOs participating in the Medicare Shared Savings Program can share in savings they generate for Medicare if they comply with various requirements,…...
Insurer Data Show Planned Services Win Big Under No Surprises Act
1+ mon, 6+ day ago (122+ words) Bloomberg Law News Out-of-network doctors are winning drastically higher arbitration payouts for planned procedures under a law protecting patients from unexpected emergency bills, according to data from insurer Elevance Health Inc. Over the last two years, median arbitration awards won…...
Medicare Proposes New Payment Rates for Dialysis Treatments
1+ mon, 6+ day ago (94+ words) Bloomberg Law News The Trump administration announced a proposal to change dialysis services reimbursements under the Medicare program starting in 2027. A proposed rule (RIN 0938-AV81) released Wednesday by the Centers for Medicare & Medicaid Services seeks to revise the Medicare rates for…...