Tag Archives: rule

Bye-Bye to Health Insurance ‘Birthday Rule’? Kansas Lawmaker Floats Fix

When Kayla Kjelshus gave birth to her first child, the infant spent seven days in the neonatal intensive care unit, known as the NICU. This stressful medical experience was followed by an equally stressful financial one. Because of an obscure health insurance policy called the “birthday rule,” Kjelshus and her husband, Mikkel, were hit with… Read More »

Final inpatient payment rule confirms price transparency push

Dive Brief: CMS is finalizing a price transparency push that uses median payer-specific negotiated charges from Medicare Advantage organizations to inform its calculations for inpatient hospital rates beginning in 2024, according to a final rule posted Wednesday. The Inpatient Prospective Payment System rule for 2021 includes a rate increase of 2.9% for general acute care… Read More »