Here’s a sampling of the recent articles R1 revenue cycle experts are reading:
Healthcare Finance
Executives struggling to keep up with policy uncertainty
C-suite leaders, including hospital executives, are struggling to keep up with policy volatility as the federal government under the Trump administration rapidly reimagines economic and regulatory policies. That’s according to a new PwC pulse survey that interviewed leaders across six industries, including healthcare. Sixty-one percent of healthcare leaders surveyed are rethinking their short-term business strategies due to what’s going on in the economy.
The Hill
CBO: Nearly 11 million will be uninsured if GOP budget bill becomes law
Nearly 11 million people would lose health insurance under the House Republican tax bill, mostly due to cuts to Medicaid and the Affordable Care Act (ACA), according to the nonpartisan Congressional Budget Office (CBO). The CBO’s latest report estimates that 10.9 million people would be uninsured over the next decade if the spending package, which includes much of President Trump’s legislative agenda, were enacted. The legislation would add $2.4 trillion to the deficit, according to CBO scoring.
Healthcare Innovation
Implications of CMS’ expansion of RADV audits
The Centers for Medicare and Medicaid Services (CMS) announced a significant expansion of its auditing efforts for Medicare Advantage (MA) plans. With the last significant claw back effort dating back to 2007 and estimates of overpayments reaching $43 billion annually, the implications could be wide-reaching across the industry.
Fierce Healthcare
Hospitals cheer judge’s 340B rebate ruling but still await HHS’ final say
Hospital groups are celebrating a federal judge’s initial ruling against pharmaceutical makers who contended a government block on 340B Drug Pricing Program rebate models was unlawful. A U.S. District Court for the District of Columbia judge denied motions for summary judgment brought by drug makers Eli Lilly, Bristol Myers Squibb and Novartis as well as tech vendor Kalderos.
