Reimbursement
CMS is also proposing to add Consumer Assessment of Healthcare Providers and Systems Hospice Survey Star ratings on Care Compare.
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With specialty reintegrated into the pharmacy services, the goal is to deliver cost savings for Service Benefit Plan members.
Under white bagging, the specialty pharmacy is reimbursed by the payer, while the physician is paid only a drug administration fee.
The Texas lawsuit claims UHC has advanced an "unlawful scheme" to eliminate providers like itself from its network for its own financial benefit.
The federal government claims insurers are being funded through a practice of raising premiums known as "silver loading."
Round 2 contains a number of tweaks that seek to address disparities and distribute funding to more areas.
The number of Medicare and Medicaid patients declined during the pandemic, changing the 340B hospital payer mix.
CHART was set up to test whether upfront investments, capitated payments and regulatory flexibilities improve care while reducing costs.
The 2% cut to Medicare reimbursement is delayed through the end of the year, to the relief of hospital and physician groups.