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CMS proposes hospital pay bump, revived joint replacement model
6+ day, 25+ min ago (35+ words) Modern Healthcare CMS proposes hospital pay bump, revived joint replacement model Medicare payments for inpatient hospital services would rise 2. 4% in fiscal 2027 under Friday's proposed rule....
Why insurers aren't cheering CMS' Medicare Advantage increase
1+ week, 1+ day ago (34+ words) Modern Healthcare Why insurers aren't cheering CMS' Medicare Advantage increase The Philadelphia-based system claims the insurer's latest policy on inpatient services allegedly violates federal law....
Group cutting prior authorizations by 11% includes Aetna, Cigna
1+ week, 2+ day ago (150+ words) Modern Healthcare Group cutting prior authorizations by 11% includes Aetna, Cigna - A group of nearly 50 health plans says it has reduced prior authorizations by 11% so far in 2026 compared with 2024. - The coalition also said it is on track to improve the standardization…...
CMS raises Medicare Advantage payment rates more than proposed
1+ week, 3+ day ago (27+ words) Modern Healthcare CMS raises Medicare Advantage payment rates more than proposed Gapstur has led the organization since January 2019....
Rising claims denials dent provider revenue: report
1+ week, 3+ day ago (30+ words) Modern Healthcare Rising claims denials dent provider revenue: report Consultancy Kodiak Solutions analyzed revenue cycle data for 2, 300 hospitals and 350, 000 physicians....
Insurers fought CMS star changes. Now the fallout begins
1+ week, 3+ day ago (33+ words) Modern Healthcare Insurers fought CMS star changes. Now the fallout begins Charlene Mac Donald became president and CEO at the Federation of American Hospitals in January....
CMS proposes Medicare pay hikes for nursing homes, hospices
1+ week, 6+ day ago (34+ words) Modern Healthcare CMS proposes Medicare pay hikes for nursing homes, hospices The rule finalizes most changes to the Medicare Advantage program the agency proposed in November....
CMS finalizes Medicare Advantage Star Ratings overhaul for 2027
1+ week, 6+ day ago (34+ words) Modern Healthcare CMS finalizes Medicare Advantage Star Ratings overhaul for 2027 Henry Ford Health has acquired Cornerstone Medical Group, including its 25 locations across the region....
Bipartisan bill would cap Medicare physician pay cuts
2+ week, 2+ day ago (9+ words) Modern Healthcare...
Medicare ACOs keep growing. Will that continue?
2+ mon, 1+ week ago (43+ words) Medicare Shared Savings Program ACOs saved $4. 1 billion last year, according to the Centers for Medicare and Medicaid Services. Medicare ACOs keep growing. Will that continue? The Centers for Medicare and Medicaid Services has big plans for the exchanges. Providers have…...