Medicaid Cuts and ACA Changes Hit Non-Expansion States Hard
New federal budget law containing Medicaid funding cuts and ACA changes disproportionately impact Medicaid non-expansion states, increasing uninsured numbers and straining rural hospitals.
Aetna Medicare Advantage’s New Inpatient Payment Policy: Implications and Regulatory Concerns
Examining Aetna's new inpatient payment policy for Medicare Advantage plans, its conflicts with Medicare's Two-Midnight Rule, and implications for hospital reimbursement and compliance.
Medicare Quality Programs Under Scrutiny: Calls for Supportive Reform
Medicare's pay-for-performance programs face criticism for inefficacy and inequity. Experts advocate shifting to supportive models rewarding incremental improvement and incorporating patient-reported outcomes to enhance quality care.
Aetna's New Medicare Advantage Policy Alters Two-Midnight Rule Payment Approach
Effective November 2025, Aetna changes Medicare Advantage inpatient admission payments under the Two-Midnight Rule, impacting hospital reimbursements and billing practices.