Reimbursement
A chief finding was that patients using NIV at home with a high-touch care model have the lowest overall costs and hospitalization rates.
Reforms to the local coverage determination process will increase transparency and patient engagement to ensure beneficiaries can get the latest therapies and devices.
The penalties for some facilities will be as much as 3 percent, the maximum allowed under federal law, which can translate into tens of thousands in lost revenue.
MA enrollment is projected to increase while plans offer new types of supplemental benefits, CMS says.
About 90 percent of New York hospitals will be penalized next year, and while that number is high, it's down 3 percent from 2018.
The report raises questions of whether Medicare Advantage plans inappropriately deny claims to increase profits.
Medical school and residency programs have an untapped opportunity to educate clinicians about using AI in patient care.
The Patient Right to Know Drug Prices Act and the Know the Lowest Price Act are expected to get President Trump's signature.
Two areas for financial hope are being paid for telehealth and better data sharing in a rule on health information blocking.
In addition to those whose scores were directly impacted, some clinicians will see small changes in their payment adjustment after reapplication of budget neutrality, CMS said.