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CMS Finalizes 2025 Marketplace Integrity and Affordability Rule
The Centers for Medicare & Medicaid Services June 20 finalized its 2025 Marketplace Integrity and Affordability rule, intended to establish new standards for the health insurance marketplaces and address improper and fraudulent enrollments.
When Medicaid Disappears: How Cuts Could Devastate Behavioral Health Care in Rural America
In this conversation, Jon Ulven, Ph.D., behavioral health psychologist and chair of adult psychology at Sanford Health, details the fragile behavioral health landscape in rural America and how Medicaid cuts could deepen gaps in health care access and resources.
Key Highlights of the Final One Big Beautiful Bill Act
The Senate July 1, and the House July 2, passed a budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), H.R. 1, a sweeping package that enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
The Value Cycle
On-Demand Educational Webinars
In order to compare baseline costs to savings and determine areas of compliance risk, supply chain professionals need to work closely with their revenue cycle colleagues maintaining the chargemaster. This webinar explores how supply data elements in your item master and chargemaster play a role in negotiating payments, in disbursing across the continuum of care, and in assessing variations in clinical practice.
Introduction to Health Care Supply Chain: Supply Chain Basics (Part I)
Enhance your knowledge of health care supply chain management with our Introduction to Health Care Supply Chain course. Improve patient care and operational efficiency.
Supreme Court sides with HHS in Medicare DSH formula case
The Supreme Court April 29 ruled 7-2 in favor of the Department of Health and Human Services in a case that challenged how HHS applied Congress’ formula for calculating Medicare Disproportionate Share Hospital payments.
Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations
Optimizing hospital’s revenue cycle for efficient, patient-centered operations and
enhancing critical KPIs using AI and robotic process automation.
Building and Implementing an Artificial Intelligence Action Plan for Health Care
Health care artificial intelligence action plan defines people, process and technology essentials, ROI, and AI use cases to transform care delivery.
Special Bulletin: CMMI Issues Increasing Organ Transplant Access (IOTA) Model Final Rule
The Center for Medicare and Medicaid Innovation (CMMI) Nov. 26 finalized a new
mandatory payment model that will begin on July 1, 2025 and test whether hospital
performance-based incentive payments or penalties will increase access to kidney
transplants while preserving or enhancing the quality of care and reducing Medicare
expenditures. The rule also includes standard provisions that will apply to all CMMI
models whose first performance period begins on or after Jan. 1, 2025.
AHA Asks Congressional Leadership to Fund Hospitals, Protect Health Care Workers
Before the lame-duck session ends and the 118th Congress adjourns, it is essential that federal lawmakers understand the challenges hospitals and health systems face and what is at stake for the patients and communities they represent.