Reimbursement
The ultimate goal is to streamline documentation and coding in the mid-revenue cycle.
Hospitals, contract pharmacies and others make significant revenue from 340B, but the concern is whether patients benefit.
The Securing Access to Care for Seniors in Critical Condition Act was introduced in March and is awaiting further action.
Revenue is also up, hitting $48.9 billion in Q1, a 15% jump as compared to $42.6 billion a year ago.
The company pulled in $6.29 billion in profit during Q1, but was hit by Medicare Advantage expenses.
Primary care physicians see an average pay increase of only 1.4%, while specialists experience an even smaller increase of 1%.
CMS proposes to remove four SDOH standardized patient assessment data elements to reduce burden.
CMS also proposes to update the outlier threshold so that estimated outlier payments remain at 2% of total payments.
This translates to an estimated increase of $695 million in payments from fiscal year 2025, CMS says.
The American Hospital Association voiced concern over that rate and a 2.6% increase for long-term care hospitals.