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Medicare & Medicaid

Nov 30 | Jeff Lagasse
That brings the total number of enrollees to 2.4 million, a 41% jump over last year but also with more…
CMS issued a proposed payment rule late on Thanksgiving Eve.
Nov 28 | Susan Morse
States, as Georgia has done, could waive certain ACA requirements to develop their own state healthcare programs.
CMS is allowing acute care for some health systems in the home. (Photo by Hugh Hastings/Getty Images)
Nov 25 | Susan Morse
Medicare beneficiaries can receive telehealth services from any location, including their homes. 
Person with stethoscope consults person in a hospital bed
Nov 24 | Mallory Hackett
Risk adjustment data validation ensures payment integrity and accuracy - and it affects what plans are paid.
Person wearing stethoscope handles papers and a calculator
Nov 24 | Susan Morse
Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.
A person in scrubs examines a prescription pill bottle that another holds up
Nov 24 | Susan Morse
PhRMA questions the cost savings and says the rule leaves safety considerations to state governments, rather than the…
The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.
Nov 23 | Mallory Hackett
The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.
The AHA is against the Most Favored Nation Model as hospitals would lose drug reimbursement.
Nov 23 | Susan Morse
The interim rule would cut drug reimbursements to hospitals by an average of 65% when fully phased in,…
CMS changed Stark Law regulations on Friday.
Nov 21 | Susan Morse
The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS…
On Friday, HHS issued a final rule ending PBM rebates to insurers.
Nov 21 | Susan Morse
Opponents say the rule will not lower drug prices, and some question whether it is legal, having bypassed the…

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