Medicare & Medicaid

While hospitals must still disclose their negotiated rates with payers, they no longer have to submit cost reports to CMS based on those rates.

The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.

This is to cover administration fees for the gap in costs not paid by insurers.

The rule finalizes a maximum annual limitation on cost-sharing that is $400 below what CMS proposed in November 2020.

The agency is floating new requirements for hospitals to report on syndromic surveillance, immunization registries, electronic case reporting and electronic reportable laboratory results. It also has new plans for quality reporting.

Revised methodology for the rating system was finalized in the 2021 outpatient prospective payment system final rule. 

One of the biggest proposals is the repeal of the mandate that hospitals disclose their privately negotiated rates with payers.

The new appointees join tens of thousands of career officials during a time when expertise is critical to tackling the ongoing pandemic.

With this deal, Molina will expand upon its existing services in Texas as a part of its growth strategy.

Commonwealth Fund authors call for a deeper policy look into a system that limits options for beneficiaries without their knowledge.