This week’s edition isn’t a payment rate or a billing code — it’s a proposed change to how federal research dollars get awarded in the first place, and it has the research community paying close attention. Here’s what’s on the table, and what it could mean. On May 29,...
This week the Paragon Health Institute handed the administration a number it has been waiting for. Its report, “The Persistent Obamacare Enrollment Fraud,” estimates 6.2 million improper enrollees in 2026 at a cost of roughly $25 billion in improper subsidies. That 6.2 million figure represents nearly 27% of all...
THE HEARING On April 28, the chief executives of four of the nation’s largest hospital systems sat in front of the House Ways and Means Committee and tried to explain why care in America costs what it costs. Sam Hazen of HCA Healthcare. Brian Donley of New York Presbyterian....
What “site of service” means “Site of service” is simply where an outpatient procedure happens. The two settings that matter most in this discussion are: • Ambulatory surgery center (ASC): A facility built specifically for same-day procedures. • Hospital outpatient department (HOPD): An outpatient unit owned by and billed...