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Number of Medicare FFS Home Health Users Fell by 2.1% in 2024, MedPAC Reports Read More »
Home-based care providers have long looked to both the Centers for Medicare & Medicaid Services (CMS) and Medicare Advantage (MA) to push forward value-based care, but that balance may be shifting. CMS is driving value-based care growth more than MA, as federal models such as home health value-based purchasing (HHVBP) and the Transforming Episode Accountability
CMS Emerges as Value-Based Care’s New Engine as Medicare Advantage Plans Pull Back Read More »
Wilford Gibson, MD, president of the American Academy of Orthopaedic Surgeons and partner at Virginia Beach, Va.-based Atlantic Orthopaedic Specialists, knows how little financial cushion an independent medical practice can have. During the COVID-19 pandemic, his group’s physician partners stopped taking paychecks temporarily so they could continue paying employees. Even under normal circumstances, he said,
AAOS President Warns of Orthopedic Practice Closures Under Medicare Proposal Read More »
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AAOS President Warns of Orthopedic Practice Closures Under Medicare Proposal Read More »
The Trump administration has advised states to place new restrictions on autism therapy providers to curb a sharp increase in Medicaid spending for a treatment that has raised concerns of waste and fraud. Thousands of autism clinics have sprung up across the country in recent years, an expansion that has played out with little regulatory
Medicaid Urges States to Increase Autism Therapy Oversight Read More »
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Medicaid Urges States to Increase Autism Therapy Oversight Read More »
CMS on July 31 finalized its Inpatient Prospective Payment System and Long-Term Care Hospital Prospective Payment System rule for fiscal 2027, setting a 2.3% payment increase for acute care and long-term care hospitals and locking in the first mandatory, nationwide episode-based payment model for joint replacements. “Knee, hip, and ankle replacements are important for helping
CMS Finalizes 2.3% Hospital Pay Bump, Mandatory Joint Replacement Model Read More »
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CMS Finalizes 2.3% Hospital Pay Bump, Mandatory Joint Replacement Model Read More »
New York State Medicaid Director Amir Bassiri announced on July 30, 2026, a six-month moratorium on new Medicaid provider enrollments for six “high-risk” provider categories: laboratories, durable medical equipment (DME) suppliers, applied behavioral analysts, licensed home care service agencies (LHCSAs), pharmacies and managed long-term care plans. This announcement follows a similar move by the Centers
New York Freezes Medicaid Enrollment Read More »
