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While Republican members of Congress have announced plans to once again use budget measures to attempt to defund key parts of health reform - including nearly $1 billion the Office of Management and Budget requested for CMS, which presumably would be used for the establishment and operation of state health insurance exchanges - their Republican counterparts who occupy state governors' mansions have begun to sing a different tune.

Yesterday, the Obama Administration released its proposed federal budget for fiscal year 2014. As widely reported, the budget incorporates an offer the President made to Congress in December 2012 to achieve nearly $1.8 trillion in additional deficit reduction over the next 10 years.

For 15 years, Congress has bestowed special privileges to some small remote hospitals, usually in rural areas, to help them stay afloat. Despite these benefits, there's new evidence that the quality of many of these hospitals may be deteriorating.

MedPAC has released its annual report to Congress on Medicare Payment Policy, including payment update recommendations for all the major Medicare FFS payment systems and limited Medicare Advantage (MA) recommendations.

The payment of higher Medicare rates to physicians and hospitals in regions that have good health outcomes and lower costs, while reducing payment rates where there is lesser quality and higher costs will not drive individual providers to deliver care more efficiently reports the Institute of Medicine (IOM).

On Tuesday, the National Labor Relations Board announced it will appeal to the Supreme Court a decision by the D.C. Circuit Court of Appeals that invalidated appointments to the NLRB made by President Barack Obama last year while lawmakers were on break. At least two healthcare providers are actively opposing decisions made by the board in 2012.

Possible cuts in Medicare funding for graduate medical education (GME) that could start as soon as next month come at a critical time when the industry is trying to find solutions to a physician shortage that promises to accelerate through 2020.

Vanguard Health Systems, Inc. today announced financial and operating results for its second fiscal quarter of 2013.

A bipartisan bill introduced by representatives D. Phillip Roe, MD, (R-Tenn.) and Allyson Schwartz (D-Pa.) and with the support of numerous provider groups, seeks for a second time to repeal the Independent Payment Advisory Board (IPAB).