- The Congressional Budget Office said a proposal to add work requirements for Medicaid eligibility would have “a negligible effect on employment status or hours worked by people who would be subject to the work requirements.”
- CMS proposed two new rules April 27 that would establish national standards of care provided through fee-for-service Medicaid/CHIP and managed care plans, along with a requirement to publicly disclose provider payment rates online.
- The American Medical Association and more than 100 physician and healthcare organizations asked Cigna to reconsider a policy they say will add administrative costs and burdens and potentially negatively affect patients.
- House Republicans’ Medicaid work requirement proposal would result in an estimated 600,000 people losing coverage.
- HHS unveiled its proposed rule that, if finalized, would expand healthcare coverage access to an estimated 129,000 previously uninsured Deferred Action for Childhood Arrivals program recipients.
- CMS issued a final rule April 5 that, among other things, aims to streamline Medicare Advantage and Part D prior authorizations and clamp down on misleading marketing practices.
- CMS will move ahead with Medicare Advantage risk adjustment changes payers and some provider groups opposed, but the agency will phase in the model over three years.
- HHS Secretary Xavier Becerra told the Senate Finance Committee that proposed Medicare Advantage rate changes will not lead to cuts in benefits.
- CMS instructed all independent dispute resolution entities to resume issuing No Surprises Act payment determinations involving out-of-network services and items.
- CMS laid out more details on how it plans to implement the first-ever negotiation process of drug prices under Medicare, which will first apply in 2026.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.