More than 130 providers say billions in underpayments are tied to Medicare Advantage calculation changes. More than 130 hospitals across 16 states have filed suit against the Department of Health and ...

More than 130 hospitals have filed a lawsuit against HHS challenging how the agency calculates disproportionate share hospital payments, arguing the policy unlawfully reduces reimbursement for ...

SAN RAMON, Calif., Feb. 24, 2026 /PRNewswire/ -- Trek Health today introduced OpenPayer, an AI-powered solution developed on its Price Transparency Platform to address the growing complexity of payer ...

Transparency mandates require detailed disclosure of rebates, spread pricing, fees, and reimbursement methodologies, expanding plan sponsor audit rights and increasing CMS oversight of PBM reporting ...

From anesthesia stipends to implant sticker shock, ASC leaders say the math between what it costs to run cases and what payers reimburse is breaking down. Twenty-two ASC leaders joined Becker’s to ...

Across the country, pediatric care systems are delivering high quality, increasingly complex care in environments that no longer resemble those in which many Medicaid payment models were designed. The ...

SIOUX FALLS, S.D. (KELO) — The South Dakota Department of Social Services (DSS) has put forward a rule change in an attempt to modernize their hospital reimbursement methodologies, but LifeScape said ...

Providence's complaint, filed on April 11, covers more than 12,000 individual bills from 10 hospitals across Los Angeles, Orange, Humboldt, and Sonoma counties. The hospitals argue they did not have ...

MARIETTA, Ga., July 15, 2025 (GLOBE NEWSWIRE) -- MiMedx Group, Inc. (Nasdaq: MDXG) (“MIMEDX” or the “Company”) today commented on the Centers for Medicare and Medicaid Services (“CMS”) release of the ...

Skilled Nursing Facilities (SNFs) provide a valuable service to communities, meeting the needs of people with complex medical conditions who require short-term rehabilitation or longer-term care.