Assault on Hospital Prices Intensifies Make no mistake, spending for hospital services is under increasing assault by the government and private payors and big pharma.  In a series of regulatory proposals from CMS this year, the agency has targeted various hospital funding streams for reductions.  From...

Physician Groups Continue to Lobby Against Provisions in Surprise Billing Legislation Various congressional committees will turn their attention this week to surprise billing legislation as physician groups have stepped up lobbying efforts against the current surprise billing bills that passed out of Senate and House committees...

Congress Returns and Renews Efforts To Pass Surprise Billing Legislation Key House and Senate Committees will continue their efforts this week at weaving together surprise billing legislation that can pass both chambers.  Advocacy groups are keeping up the pressure on policymakers. In one major campaign favoring...

CMS Decides To Revise Hospital Star Rating System  CMS has announced it will update its hospital star ratings in early 2020 using the current methodology as the agency works on refining a new one. With the last update to the ratings system implemented in February 2019, CMS...

Public Charge Rule: Fewer Health Care Benefits for Legal Immigrants; Lawsuits Filed The Trump Administration has moved to reframe green card requirements through the public charge rule, stressing English language skills and wealth in order to attract immigrants who will be more self-sufficient. This rule will...

Hot and Heavy Discussions Around Surprise Billing During Congress' August Recess Even though the House Energy and Commerce Committee passed surprise billing legislation in July, with the promise of floor action in late September, two other House Committees are busy working on their own versions of...

U.S. News Releases 2019-20 Best Hospital Rankings; Healthgrades Releases Women's Care Awards The updated methodology in its 30th edition provides a multifaceted assessment on nearly every hospital nationwide including its 12 data-driven specialty rankings as well.  The analysis also scores the best hospitals by region. The...

Surprise Billing Legislation Hits Roadblocks, Leaders Look at September for Votes Due to division within both chambers of Congress, the surprise billing legislation that has passed the relevant Committees will not be voted on prior to the August recess. The divisions are primarily between providers, who...

Growing Provider Opposition Results in Major Changes to Surprise Billing Legislation  The House Energy and Commerce Committee has approved several amendments to legislation to ban surprise medical bills in attempt to make the bill more friendly to providers. The approved bill, the No Surprises Act (H.R. 2328), prohibits balance...

House Subcommittee OKs Surprise Billing Package Favoring Insurers, Approves DSH Cut Delay The House Energy and Commerce Health Subcommittee voted in favor of a controversial surprise billing bill that favors insurers over providers.  The panel also approved several bills that would extend various Medicare and Medicaid...