Reimbursement

This week's top stories include projections that hospitals could lose $54 billion in net income over the course of this year, and Apple looking to use digital biomarkers to help detect depression and early-stage cognitive decline.

OIG suspected MA companies have financial incentives to make beneficiaries appear as sick as possible.

Hospitals are treating sicker patients and spending more for labor, supplies and equipment as people continue to put off care.

Prime's New Jersey hospitals will continue to honor the rates and services in the agreements until the end of the cooling off period.

The report received harsh criticism from advocacy group 340B Health, which called the methodology highly flawed.

The DOJ alleges the entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage plans.

There are a record-breaking 12.2 million people enrolled in the federal and state marketplaces, HHS says.

CMS is exploring a new rule due to concerns raised and operational challenges.

Applications for the relief distributions open up on September 29.   

The organizations recommended HHS build in flexibilities and payment for APM participants to strengthen their focus on addressing inequities.