A hospital billing practice that can leave Medicare beneficiaries on the hook for large medical costs is becoming increasingly common, according to a report released in Health Affairs on Monday.
Three researchers from Brown University examined how frequently patients are placed on “observation status,” meaning they’re getting treatment in a hospital but are not technically admitted. That means their care is covered by Medicare Part B rather than Part A, which can leave patients responsible for a greater share of their costs.
Read the full story: http://hcp.lv/LlJboa
Source: Politico
Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
June 19th 2025Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
Listen
From Red Tape to Relief: Rewriting the Rules of Prior Authorization
June 23rd 2025Up to 257 million Americans could benefit from these prior authorization reforms that could have cross-market implications on health care plans administered through commercial insurers, Medicare Advantage, and Medicaid.
Read More
Democratic Doctors Caucus Reaffirms EMTALA Amid Trump's CMS Policy Reversal on Abortion Care
June 18th 2025Democratic leaders assert the Emergency Medical Treatment and Labor Act (EMTALA) remains vital for emergency care, countering confusion from recent policy changes affecting abortion rights and patient safety.
Read More