Generally, CON and statewide planning initiatives are meant to tamp down the inefficiencies of a free market by reducing duplicative services and basing capital expenditures on some predetermined standard of community need. However, critics say that such programs stifle competition and artificially maintain the success of incumbents who have captured certain markets. In behavioral health, […]
Medicare-certified ASCs are subject to numerous federal laws — including the Anti-Kickback Statute — that require compliance when bringing in or terminating surgeon owners, according to a recent article in the March 2025 issue of Surgery Business magazine. Here are six strategies to mitigate these risks, according to the article. Read the full article: Antikickback
Antikickback and ASC Ownership: The Compliance Risks to Know Read More »
The most significant healthcare actions from the first 60 days of the second Trump administration. Read the full article: ‘Go Wild.’ 60 Days of Healthcare Under Trump // Source: https://www.modernhealthcare.com/politics-policy/trump-healthcare-executive-orders-rfk
‘Go Wild.’ 60 Days of Healthcare Under Trump Read More »
Texas Republican James Frank is a small-government conservative who has made it his mission to fight bureaucracy. But when it comes to health care, the North Texas lawmaker is so alarmed by rising costs that he wants greater state oversight of mergers. “The consolidation in the health-care market is out of control,” said Frank, who
Skyrocketing Medical Costs Spark Republican Pushback on Deals Read More »
For years, ambulatory surgery centers (ASCs) have operated at a reimbursement disadvantage compared to hospital outpatient departments (HOPDs) and other – often costlier – health care settings. Yet a growing push for site-neutral payments could soon level the playing field, potentially reshaping the financial landscape for ASCs, hospitals and payers alike. And Brentwood, Tennessee-based Surgery
On Feb. 12, 2025, the Texas House of Representatives introduced House Bill 2747, which would require entities to report certain healthcare transactions to the Texas attorney general. Currently, Texas does not require entities to provide notice of a transaction to the state. If H.B. 2747 passes, Texas will join the growing number of states that
Bill Could Create Notification Requirement for Texas Healthcare Transactions Read More »
The potential implementation of federal Medicaid work requirements poses a serious threat to healthcare access for millions of Americans. An analysis published March 17 by the Urban Institute and the Robert Wood Johnson Foundation warns that up to 5 million adults could lose their Medicaid coverage by 2026 — not because they fail to meet
Work Requirements Could Strip 5M People of Medicaid: Report Read More »
The two remaining Democratic commissioners of the Federal Trade Commission (FTC) have been fired, they announced on social media Tuesday. Alvaro Bedoya and Rebecca Kelly Slaughter were both removed from the committee. The two members released separate statements on X, with Bedoya saying Trump wants the agency to be a “lapdog for his golfing buddies.”
Trump Fires 2 Democratic FTC Commissioners Read More »
Since 2010, the share of Medicare beneficiaries receiving their Medicare benefits from private Medicare Advantage insurers has more than doubled. The Congressional Budget Office (CBO) projects nearly two-thirds of all Medicare beneficiaries will be in private plans by 2033, though data released in the early part of 2025 show enrollment growth in 2025 has been
Will the Trump Administration Fast Track the Privatization of Medicare? Read More »
Most of the nation’s leading for-profit hospital systems by revenue — HCA Healthcare, Tenet Healthcare and Universal Health Services — closed out fiscal year 2024 with net gains, boosted by strong demand for services and careful cost containment strategies. Still, executives weren’t taking a victory lap on fourth-quarter earnings calls. The leading for-profit health systems
Providers Contend with Changes in Washington in 2025 Read More »
