by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
The Centers for Medicare & Medicaid Services (CMS) could remove PET scan restrictions to better determine whether patients qualify for new drugs and to shine a light on whether a drug is slowing cognitive decline in people with Alzheimer’s disease symptoms. The...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
The Centers for Medicare & Medicaid Services (CMS) has released its proposed Medicare payment rates and policy updates under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System. In the proposed calendar...
by Jessica Casebolt | Jul 31, 2023 | Payers, Tea Leaves
A new study asserts that while payers should cover telehealth, where these services are the most valuable still requires investigation. The Centers for Medicare & Medicaid Services (CMS) made the rules about telehealth usage more flexible during the COVID-19...
by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
President Joe Biden on Friday rolled out a new set of initiatives to reduce health care costs, including a crackdown on scam insurance plans, new guidance to prevent surprise medical bills, and an effort to reduce medical debt tied to credit cards. A proposed rule on...
by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
A new report from the Urban Institue says that the Centers for Medicare and Medicaid Services’ (CMS) quality bonus program is ineffective in many cases as it overpays Medicare Advantage organizations and needs reform. The bonus program, established by the Affordable...
by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services (CMS) has proposed cutting reimbursements to home health providers by 2.2 percent in fiscal 2024 in a draft regulation published Friday. Home health advocates were universally upset with the proposed rule on...
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