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UPDATED: Implications for Hospitals and Health Systems During a Government Shutdown
Government funding and certain health care programs and waivers expired at midnight Sept. 30 as congressional leaders were unable to reach an agreement to keep the government funded.
Holding Commercial Health Insurers Accountable
“Trust but verify” is a phrase often associated with President Reagan and the need to ensure that treaties enacted with the Soviet Union were being upheld.
Study finds Medicaid beneficiaries most likely to lose coverage due to work requirements have worse health
A JAMA study published yesterday analyzed the health characteristics of individuals projected to lose Medicaid coverage due to work requirements included in the budget reconciliation bill (H.R. 1).
CMS releases updated guidance to states on federal financing for emergency Medicaid services
The Centers for Medicare & Medicaid Services Sept. 30 released guidance to states clarifying its interpretation of a provision that authorizes federal financing to pay for emergency Medicaid services for undocumented patients ineligible for full Medicaid benefits.
Breaking the Claims Denials Cycle
Prevent costly denials with AI-driven front-end tech and CDI tools to catch errors early and apply real-time payer strategies to boost outcomes.
Analysis: Health Insurance Marketplace premiums would more than double if enhanced premium tax credits expire
An analysis published Sept. 30 by KFF found that Health Insurance Marketplace enrollees who currently benefit from the enhanced premium tax credits would pay more than double their current premium payments if the EPTCs expire at the end of this year.
Update on Implications of the Government Shutdown on Day 1
A federal government shutdown began at midnight Sept. 30. The impact on health care is that government funding and certain health care programs and waivers expired.
Administration announces agreement with Pfizer to lower drug costs
President Trump today announced the first agreement with a major pharmaceutical company, Pfizer, to bring American drug prices in line with the lowest paid by other developed nations — wh
Supporting Resident Wellness: Inside Boston Medical Center’s Innovative Approach
Medical residency is one of the most demanding stages in a physician’s career. Long hours, intense learning and new responsibilities often push trainees to deprioritize their own health.
AHA provides recommendations to HHS, CMS for insurers to adhere to prior authorization pledge
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure insurance plans adhere to the agencies’ health insurer pledge to reform prior authorization processes.