Reimbursement
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Spine
Carlsmed Announces Favorable Medicare Reimbursement Decision for Spinal Fusions with Custom-Made Anatomically Designed Devices
CARLSBAD, Calif., August 5, 2024–(BUSINESS WIRE)–Carlsmed, the leader in personalized spine surgery, announced today that in the Hospital Inpatient Prospective…
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Regulatory
MCRA Announces New Vice President of Reimbursement, Healthcare Economics, and Market Access
WASHINGTON, Dec. 8, 2022 /PRNewswire/ — MCRA, LLC, a leading medical device focused regulatory advisory firm and clinical research organization (CRO) integrating…
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Financial
340B hospitals to get full drug reimbursement for 2022, court orders
The order vacates the drug reimbursement rate for 340B hospitals in the 2022 OPPS Rule. Susan Morse, Executive Editor – October…
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Hospitals
Supreme Court overturns 340B pay cut to hospitals
By Paige Minemyer – Jun 15, 2022 The Supreme Court on Wednesday unanimously rejected massive payment cuts to hospitals under the…
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Spine
Genesys Spine Partners with PRIA Healthcare to Improve Patient Coverage
AUSTIN, Texas, May 3, 2022 /PRNewswire/ — To assist with patient reimbursement solutions, Austin-based medical device manufacturer Genesys Spine is partnering with PRIA…
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Financial
AAOS Files Amicus Brief in Support of Lawsuit Challenging No Surprises Act Rule
WASHINGTON, Jan. 11, 2022 /PRNewswire/ — The American Association of Orthopaedic Surgeons (AAOS) joined in filing an amicus brief supporting the lawsuit—led by…
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Financial
Providers slam House for not delaying nearly 10% Medicare payment cuts in must-pass spending deal
by Robert King | December 2, 2021 Major provider groups were livid that a continuing resolution to fund the federal government also doesn’t…
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Hospitals
Majority of surgeons in new survey warn of longer wait times, care delays if Medicare cuts go through
November 11, 2021 / by Robert King Most surgeons said in a recent survey that a series of Medicare reimbursement cuts…
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Financial
CMS wants to pull Trump-era pathway that speeds up Medicare coverage of breakthrough medical devices
by Robert King | Sep 13, 2021 The Biden administration wants to pull a controversial Trump-era regulation that would hasten Medicare coverage of…
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Financial
Senate passes infrastructure bill that restarts sequester cuts, delays rebate rule
by Robert King | Aug 10, 2021 The Senate passed a roughly $1 trillion bipartisan infrastructure package paid for in part by delaying…
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Financial
American College of Surgeons wants Congress to intervene in Medicare payments
Physician fee schedule payments fail to keep up with inflation and threaten patient access to critical treatments, ACS says. July…
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Financial
UnitedHealthcare looks to retroactively deny emergency room claims
The policy is an attempt to curb healthcare costs, but some providers are worried it could lead to lower reimbursement.…
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Financial
Federal court says HHS must recalculate years of Medicare payments to teaching hospitals
by Dave Muoio | May 21, 2021 A federal court has ruled in favor of dozens of teaching hospitals in a case seeking…
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