Reimbursement
CMS says the rule takes initial steps in a larger effort to address what it sees as fraud, waste and abuse.
CMS released 2024 Medicare Advantage Program and Part D Payment policies on Friday.
Due to external economic factors, relatively flat margins are likely to continue in the near term, data showed.
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The report also highlights the substantial gender pay gap among physicians, with men earning nearly $110,000 more than women.
Certified IDR entities have now resumed processing all payment determinations.
For acute care hospitals, the Medicare Advisory Payment Commission recommends a higher-than-current-law FFS payment update.
Proposed changes to MA risk adjustment would result in an average payment cut of 3.7%, AHIP says in its own comment letter.
The reduction in private insurance premiums, BCBSA found, would increase federal tax revenues by about $29 billion.
For those with private insurance, coverage for telehealth and other remote care services will vary by plan after the end of the PHE.