article thumbnail

McKinsey: Healthcare Profit Pools to Reach $819B by 2027

HIT Consultant

Let’s delve into the projected trajectory of different healthcare players in the coming years: Healthcare Profit Pools Healthcare profit pools will grow at a 7% CAGR, from $583B in 2022 to $819B in 2027. This shift fuels a 5% CAGR for payer profit pools, reaching $78 billion by 2027.

COVID-19 104
article thumbnail

CMS Issues E-Prescribing Final Rule: Quick Takeaways in a No-Slowing-Down Reg Cycle – Regulatory Talk Series

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. Date required : January 1, 2027 Key takeaway : Budget extra time for implementation.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

2024 Brings Expansion to Medicaid in New York State

Healthcare Law Blog

CMS approved $500 million in infrastructure spending for NYS to establish social care networks (“ SCNs ”) to provide HRSN screening and referral services to Medicaid beneficiaries that are targeted populations for HRSN services. Medicaid Hospital Global Budget Initiative CMS authorized up to $2.2

article thumbnail

CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). This option is available for five years and ends on March 31, 2027.

article thumbnail

Long Awaited Approval of the 1115 Waiver Amendment for NYS Medicaid – Just in Time for the New York State Executive Budget State Fiscal Year (SFY) 2025

Health Care Law Brief

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

article thumbnail

CMS Finalizes its Proposal to Advance Interoperability and Improve Prior Authorization Processes

Healthcare Law Blog

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

article thumbnail

4 Hurdles On The Road to Hybrid Healthcare – Digital Transformation

HIT Consultant

Centers for Medicare and Medicaid Service (CMS) approved dozens of new telehealth services last year, and payers are beginning to offer virtual-first health plans, where patients first see a virtual provider before making an in-person appointment. . – Finally, estimates say U.S. The insurance side is jumping on board, too.

COVID-19 105