Home health agencies are facing a proposed 6.4% decrease in Medicare payments in 2026, compared to 2025.
The Centers for Medicare and Medicaid Services has announced a prior authorization program pilot for original Medicare.
Data gives insights but that information works best when it can be seen by a customer service representative during a patient interaction, says Casey Williams, senior VP of patient engagement at RevSpring.
The Centers for Medicare and Medicaid Services has issued a proposed rule that would increase total payments to all end-stage renal disease (ESRD) facilities by about 1.9%, bringing the ESRD Prospective Payment System base rate to $281.06. The proposed rule also includes a proposed payment adjustment for certain non-labor costs for ESRD facilities in Alaska, […]
The Senate continues to hammer away at passing President Donald Trump’s “Big Beautiful Bill,” working through the weekend and holding a vote-a-rama session on Monday. If and when it passes, the House would need to approve the Senate’s changes to the reconciliation bill before it heads to the president’s desk for a self-imposed July 4 […]
A Michigan doctor has been sentenced to four years in prison for a $6.3 million Medicare fraud scheme in which elderly and disabled patients were allegedly sent thousands of orthotic braces they didn’t need, according to the U.S. Department of Justice.
In the mid revenue cycle, AI makes more accurate and efficient decisions, ensuring hospitals get reimbursed the amount they’re owed, says William Chan, cofounder and CEO of Iodine Software.
Health and Human Services Secretary Robert F. Kennedy Jr. has said the United States will cease making contributions to Gavi, a global alliance that works to expand vaccine access for children in impoverished areas, accusing them of “ignoring the science” and silencing questions about vaccine safety.
UnitedHealth Group subsidiary Optum is launching AI Marketplace, a healthcare-specific artificial intelligence platform that’s meant to accelerate AI adoption among payers, providers and healthcare technology companies. The new marketplace seeks to simplify AI integration across clinical and administrative systems, and Optum said it will feature a centralized, healthcare-specific ecosystem of curated solutions and APIs that […]
Dr. Patrick Conway, who was named CEO of Optum in May, is also taking on the position of leading Optum Health, according to a statement from the company.