Judge Rejects 2018 Cut to Medicare 340B Payments
Jan. 2—A federal judge recently ruled against a year-old 30 percent cut to Medicare payments for 340B drugs. But the ruling’s implementation—including the effect on 2019 payment—remains to be decided.
Medicare’s Move Toward Site-Neutral Payment
A payment change in the OPPS final rule that aims to align payments made for services delivered in off-campus hospital outpatient departments with those made for services delivered in physician offices has raised considerable controversy.
CY 2019 OPPS/ASC Final Rule: HFMA Executive Summary Presentation
This presentation briefly summarizes the CY 2019 OPPS/ASC final rule, published by CMS.
Medicare Enrollment Rate Will Peak in 2030
Medicare enrollment rate will increase by approximately 44 percent by 2030. After that time, the numbers will increase at much slower rates.
Hospitals Sue over $380 Million OPPS Cut
Dec. 5—Several hospitals and advocacy groups filed suit this week to stop a finalized Medicare payment change that would cut 2019 outpatient payments by an estimated $380 million.
The Blurring Boundaries of Elder Care: Implications for Providers and Patients
Healthcare providers are planning to invest in home health, palliative and end-of-life care, and geriatric caretakers in the coming years.
Long-Delayed 340B Rule Takes Effect in January
Nov. 30—A highly anticipated rule to require better drug company compliance with a major discount drug program will go into effect Jan. 1—following multiple delays.
Surprise Medical Bills, Direct Primary Care Gain Senate Attention
Nov. 28—Senators said they will push legislation to limit surprise medical bills and to support direct primary care as part of congressional efforts to control rising healthcare costs.
CY 2019 OPPS/ASC Final Rule
This document highlights the payment rate updates for CY 2019, included in the hospital OPPS/ASC final rule, published by CMS.
FY 2019 IPPS/LTCH Final Rule
This document summarizes key provisions of the FY 2019 IPPS/LTCH final rule, published by CMS.