Explore the complexities of peer-to-peer insurance reviews in U.S. healthcare, focusing on the challenges physicians face when appealing coverage denials for inpatient and rehabilitation care. Understand the impact on provider workflows, insurer relations, and patient access.

Congress returns to debate the future of enhanced Affordable Care Act subsidies and extends Medicare Hospital Care at Home program, with key health care hearings scheduled this week.

The U.S. House passes H.R. 4313 to extend the Medicare Acute Hospital Care at Home program through 2030, enhancing reimbursement for hospital-level care provided at home.

The AHA backs legislation to extend Medicare waivers for hospital-at-home programs, aiming to improve care quality and cost efficiency under new healthcare bills reviewed by Congress.

Study finds hospital involvement in Medicare ACOs does not significantly change emergency department admission rates, length of stay, or costs, suggesting current ACO models have limited impact on acute care spending.