Regulatory

Legal Questions Surround Private Equity-Backed Noble Health

A year after private equity-backed Noble Health shuttered two rural Missouri hospitals, patients and former employees grapple with a broken local health system or missing out on millions in unpaid wages and benefits. The hospitals in Audrain and Callaway counties remain closed as a slew of lawsuits and state and federal investigations grind forward. In […]

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CMS Ruling Paves Way for Virtual Reality Companies to Obtain Reimbursement from Payers

A virtual reality company that invented a device that offers what it calls an immersive experience that helps patients battling chronic lower back pain said it hopes the government’s approval of the product will perhaps entice commercial health plans, self-insured employers and other payers to take a closer look. The Centers for Medicare & Medicaid

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DOJ, State Attorneys General Drop Appeal to UnitedHealth-Change Healthcare Deal Ruling

After several months without any official word, the federal government and several states have called off plans to appeal a judge’s ruling that allowed UnitedHealth Group to close its acquisition of Change Healthcare. In a filing with the court Monday, attorneys representing the U.S. Department of Justice (DOJ) as well as Minnesota and New York

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Why the FTC Didn’t Block Amazon’s Deal for One Medical

The Federal Trade Commission didn’t contest Amazon’s $3.9 billion deal for primary care company One Medical despite agency officials’ beliefs that the acquisition would hurt competition, Politico reported March 20. The FTC found evidence of anticompetitive tactics but decided it was too hard of a case to win, people with knowledge of the agency’s thinking

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MedPAC in No Rush to Recommend Major Hospital Medicare Payment Increases despite Industry’s Pleas

The Medicare Payment Advisory Commission’s recent breakdown of the hospital sector’s financial viability largely struck a different tone from the doom and gloom industry groups have voiced as of late. With the exception of additional support for safety-net providers—which industry group America’s Essential Hospitals (AEH) has already criticized for “overlooking” uncompensated care delivered to non-Medicare

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As Demand for Travel Nurses Drops, States Debate Payment Caps

To crack down on price gouging, proposed legislation in Missouri calls for allowing felony charges against healthcare staffing agencies that substantially raise their prices during a declared emergency. A New York bill includes a cap on the amount staffing agencies can charge healthcare facilities. And a Texas measure would allow civil penalties against such agencies.

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MedPAC Recommends Physician Pay Bump, but Not Enough for Provider Groups

The group that advises Congress on Medicare policy is recommending updating base physician payment rates by 1.45% for 2024, according to its annual March report out Wednesday. The Medicare Advisory Payment Commission, or MedPAC, did not make recommendations for ambulatory surgery center payment updates or for Medicare Advantage plans. Last year, the commission didn’t recommend

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MedPAC Has Released Its Latest Report to Congress. Here Are 4 Things to Know

The Medicare Payment Advisory Commission has released its annual report to Congress, weighing in on a slew of topics related to the program from physician reimbursement to COVID’s effects to private coverage. Read the full article: MedPAC Has Released Its Latest Report to Congress. Here Are 4 Things to Know // Source: https://www.fiercehealthcare.com/regulatory/medpac-has-released-its-latest-report-congress-here-are-4-things-know

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