Tag: Healthcare Finance

2025 Home-Based Care Sector Faces Uncertainty Amid Policy and Market Shifts

Explore key 2025 developments in U.S. home-based care including CMS payment cuts, Medicaid budget impacts, UnitedHealth's Amedisys acquisition, and industry workforce changes shaping provider strategies.

Fitch Downgrades Humana Credit Ratings Amid Medicare Advantage Payment Cuts

Fitch lowers Humana's credit ratings due to sustained healthcare utilization and reduced Medicare Advantage bonus payments, impacting insurer financial strength.

Financial and Operational Insights from an Interventional Pain Physician's Practice

Analysis of income trends, reimbursement challenges, and practice management strategies from an interventional pain physician navigating declining Medicare payments and rising operational demands.

Medicaid Intergovernmental Transfers: Addressing Abuse and Ensuring Fiscal Integrity

Explore Medicaid intergovernmental transfers (IGTs) abuse, federal oversight challenges, and policy reform opportunities to restore Medicaid fiscal integrity and ensure equitable provider payments.

Patient Financial Navigator Foundation Supports Healthcare Financial Navigation

Learn about the Patient Financial Navigator Foundation's role in providing training and resources for patient financial navigation amid evolving healthcare automation trends.

2025 Shifts in Skilled Nursing: Deregulation, Funding Cuts, and Market Dynamics

Detailed analysis of 2025 skilled nursing sector challenges including deregulation impacts, Medicaid funding cuts, private equity roles, and market trends driving nursing home valuations and closures.

Medicare Advantage OTC Benefits Drive Growth for Independent Pharmacies

Independent U.S. pharmacies leverage Medicare Advantage OTC benefits to diversify revenue and enhance patient care amid rising healthcare costs and reimbursement challenges.

Medicaid Underpayments Strain Nursing Home Financials, Impact Care Quality

Research links Medicaid underpayments to financial strains in nursing homes, highlighting effects on staffing, operational quality, and care standards.

CMS Relief Payments for Change Healthcare Cyberattack Reveal Overpayment Issues

Health Affairs report reveals CMS overpaid hospitals $2.2B in relief after the 2024 Change Healthcare cyberattack, highlighting challenges in Medicare reimbursement disruption and relief program design.

MedPAC Proposes 4% Medicare Payment Cut for Skilled Nursing Facilities in FY 2027

MedPAC recommends a 4% cut to Medicare payment rates for skilled nursing facilities in 2027, analyzing post-acute care trends and reimbursement impacts on providers.