Reimbursement
Overall, 73 percent of Medicare Advantage-PDP enrollees are in plans that have four stars or greater in 2018, CMS says.
For 2018, CMS updated its measures in adjusting three Part C measures for Medicare Advantage only and MA-prescription drug plans.
Physicians object to the policy they say will cause patients to delay seeking treatment and leave bills unpaid.
Smaller physician practices are particularly vulnerable to risk, and there are upfront costs to consider, too.
In addition to the lawsuit, complaints about Medicaid from hospitals, doctors and patients have spiked in Iowa over coverage and payments.
Physicians will be reimbursed based on the health outcomes of their patients.
Insurer has entered a value-based contract with Collegium Pharmaceutical for the drug Xtampza ER, an oxycodone equivalent with abuse deterrent properties.
Insurers offering plans have been required to cover all FDA-approved contraception, including medications and devices that induce abortion, as well as sterilization procedures.
System is already cutting hiring, using attrition to conserve cash and will end the week with only 13 days cash on hand.
Medicare advisory commission recommends voluntary physician participation in a program with measures more similar to APMs.