Insights That Move Healthcare Forward
Research, webinars, leadership perspectives, and practical resources to help healthcare organizations strengthen financial performance.
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Major Milestone: Congressional Letter Sent to CMS on Prescriptive PCS
The EMS Sustainability Initiative helped build congressional support for a stronger Medicare PCS requirement. A new Senate letter urges CMS to consider a prescribed order for non-emergency ambulance transportation, supporting compliance and program integrity.
One Emergency. Two Ambulance Rides.
Who gets to decide what counts as an emergency? Asbel Montes connects three perspectives on emergency ambulance coverage and explains why your TPL process needs to follow the patient beyond the first hospital.
The Committee Already Answered the Question. Congress Just Hasn't Acted On It.
The GAPB Advisory Committee already proposed a solution to two persistent gaps in ground ambulance coverage: who gets to define an emergency and what happens when that emergency continues beyond the first hospital. The recommendations passed with almost no opposition. Now, the question is whether Congress will act on them.
Be a Storyteller: A Three-Step Advocacy Playbook
Advocacy is only as strong as the story behind it. With the RESCUE Act bringing ambulance reimbursement back into focus, EMS organizations have an opportunity to engage policymakers with the right message, the right messenger, and the data to back it up.
DOJ v. OIG Self-Disclosure Policies: What Healthcare Entities Should Know & Why It Matters
Healthcare organizations are facing increased scrutiny from federal regulators. This article breaks down the key differences between the DOJ's Corporate Enforcement Policy and the OIG's Self-Disclosure Protocol, helping providers better understand their compliance obligations and available pathways for self-disclosure.
One Big Beautiful Bill Update
The One Big Beautiful Bill Act is reshaping Medicaid eligibility, creating new compliance requirements for states and new operational challenges for providers. Alexandra Hembrough, Esq., explores what the latest federal guidance means, where providers should focus their attention, and how organizations can prepare for the changes ahead.