Reimbursement
The American Hospital Association claims the rule is a windfall for insurers, while BCBSA calls it a "win for patients."
The rule includes a payment dispute resolution process for uninsured or self-pay individuals, and outlines requirements for cost estimates.
Part D prescription drug coverage is rising to $33 per month, compared to $31.47 in 2021.
<div style="position: relative; display: block; max-width: 100%;">
<div style="padding-top: 56.
OIG suspected MA companies have financial incentives to make beneficiaries appear as sick as possible.
Hospitals are treating sicker patients and spending more for labor, supplies and equipment as people continue to put off care.
Prime's New Jersey hospitals will continue to honor the rates and services in the agreements until the end of the cooling off period.
The report received harsh criticism from advocacy group 340B Health, which called the methodology highly flawed.
The DOJ alleges the entities submitted inaccurate information about the health status of beneficiaries enrolled in Medicare Advantage plans.
There are a record-breaking 12.2 million people enrolled in the federal and state marketplaces, HHS says.