While the new social determinants of health (SDOH) reporting requirements have been welcomed by those who say that social factors are integral to hospital quality and payment metrics, they have also brought unique challenges.
Access to needed medications helps to keep people healthy and out of the hospital. However, many people are having trouble accessing those medications amid record drug shortages.
CMS recently released the 2025 Inpatient Prospective Payment System (IPPS) proposed rule, and a notable omission represents good news for case managers.
Learn about new HHS initiatives that are designed to reduce the direct care staffing shortage and help organizations meet the rising demand for home health services.
Learn about recent Medicare Advantage (MA) developments regarding commercial criteria and artificial intelligence, as well as new guidelines for texting patient information.
A recent study gave some additional validation to CMS’ Acute Hospital Care at Home program, which was approved in November 2020 to lessen the burden on hospitals during the COVID-19 public health emergency.
Nursing home quality can suffer under private equity ownership, according to researchers, and the federal government wants to make it easier for the public to access ownership information.
Part B physicians will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule final rule, which covers numerous operational areas for medical groups, including new coverage opportunities and billing revisions to coding and compliance updates.
