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The 50 rural emergency hospitals, by state
Fifty hospitals across 21 states have converted to rural emergency facilities since the law that created the designation took effect in January 2023, according to data from CMS. Here are the hospitals that have converted to …
Read full story →Do policy context and structural disadvantage shape SNF VBP performance? Evidence from national facility-year data
Abstract Introduction Skilled nursing facility (SNF) performance under the Centers for Medicare and Medicaid Services (CMS) Skilled Nursing Facility Value-Based …
CMS Unveils Proposed 2028 HCBS Quality Measure Set: What It Means For Home Care Providers
The Centers for Medicare & Medicaid Services (CMS) has proposed a new set of quality measures for Medicaid home- and …
CEO of For-Profit MA Plan Tells CMS “Pay Us Less”
Ed Park is sincere and passionate about his calling as the CEO of Devoted Health, which provides Medicare Advantage plans …
Elevance sets aside $935M over Medicare Advantage enrollment threat
Elevance Health has set aside $935 million to cover potential costs tied to its ongoing risk adjustment data dispute with …
The Quiet Revolution Comes Full Circle: How CMS ACCESS Validates Safety-Net Innovation
While other areas of healthcare have been star-struck by sophisticated AI and massive infrastructure investments, safety net entities have found …
Hospital strategies for winning under CMS’ new value-based payment models — 3 takeaways
Health systems are navigating a continued push toward value-based payment models, with the Centers for Medicare and Medicaid Services (CMS) …
CMS, FDA unveil speedier Medicare coverage pathway for breakthrough devices
The pathway is designed to reduce the delay between FDA authorization and Medicare coverage for certain Class II and Class …
STAT+: CMS, FDA team up to fast-track reimbursement for breakthrough devices
Federal regulators are proposing a new, faster Medicare coverage pathway for medical devices deemed by the FDA as breakthroughs.
CMS, FDA launch pathway to speed device coverage
CMS and the FDA have launched a new coverage pathway to expedite Medicare access to certain medical devices. The Regulatory …
CMS delays Part D GLP-1 model amid skepticism from insurers
The Trump administration is delaying a voluntary model that aimed to expand access to GLP-1s in Part D after pushback …
Elevance perks up in 2026 though Medicare Advantage payout could ding profits
The Indianapolis-based insurer raised its 2026 earnings guidance after posting a better first quarter than Wall Street expected. Still, Elevance …
CMS pauses weight-loss BALANCE model for Medicare
CMS is holding off on its voluntary “Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth” model pilot for Medicare …
CMS to require states to audit Medicaid providers
CMS Administrator Mehmet Oz, MD, said his administration will require all states to audit healthcare providers to address alleged Medicaid …
Duke Lifepoint hospital addresses immediate jeopardy status
Hickory, N.C.-based Frye Regional Medical Center — part of Brentwood, Tenn.-based Duke LifePoint Healthcare — is awaiting CMS notice regarding …
STAT+: CMS to ask every state for new audits of health care providers
The Trump administration has been heavily focused on combating purported fraud in federal health care programs.
Policy Expert Believes CMS is Taking “Adversial Posture” to Medicare Advantage
A consultant who has analyzed healthcare policy over many decades declares that MA is in the middle of a fundamental …
Oracle Health Becomes a CMS Aligned Network to Modernize Patient Intake
What You Should Know The Integration: Oracle Health is partnering with secure identity platform CLEAR to integrate CLEAR1 into hospital …
Oracle Health named CMS-aligned network
Oracle Health has been designated a Centers for Medicare & Medicaid Services aligned network and introduced a digital check-in solution …
A practitioner's guide to using data on private equity hospital acquisitions
Abstract Introduction Private equity (PE) investment in US hospitals has attracted substantial policy and research attention, but empirical work has …
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