Reimbursement
Medicare payments to home health agencies in 2023 will increase in the aggregate by 0.7%, or $125 million, compared with 2022.
Due to expanded subsidies, 4 out of 5 people can get a plan for $10 a month or less, Secretary Xavier Becerra says.
Anesthesiologist, ER and radiology groups filed a joint brief supporting the new lawsuit by the Texas Medical Association.
CMS appropriately made CAAP Program payments to all 100 providers that were randomly selected in the OIG's audit.
New Certified Community Behavioral Health Clinics receive higher reimbursement through Medicaid than community mental health centers.
The complaint charges Cigna with encouraging diagnoses that yielded higher reimbursement for MA members.
Significantly, 37 plans earned 2.5 stars, compared to just two last year, while four plans earned two stars.
CMS is expected to release the star ratings "on or about October 6."
The order vacates the drug reimbursement rate for 340B hospitals in the 2022 OPPS Rule.
Physicians see the need to reduce the gaming of risk adjustment and to create accountability focused on outcomes, not processes.