Susan Morse
The list of the first 10 drugs covered under Part D selected for initial price applicability year 2026 will be announced September 1.
If a healthcare provider is out of compliance with CMS requirements, OIG may refer the matter to CMS.
Starting July 1, eligible UHC members enrolled in fully insured medical plans will pay nothing out-of-pocket for virtual visits.
The Enhancing Oncology Model offers additional payment for enhanced services to patients who are dually eligible for Medicare and Medicaid.
Hospitals struggle to know where and how the 48% of physician spend that doesn't go to compensation, is spent.
For hospital-based facilities, CMS projects an increase in total payments of 2.6%.
Health systems need vendor goals, communication and improvement plans, say revenue cycle experts.
The agreement terminates a previous deal between Amedisys and Option.
AI robots at Multicare evolve in their learning of tasks such as picking up supplies and making lab deliveries, says CFO James Lee.
"If I were a hospital administrator right now, I'd have a tent outside of every entrance, (asking) do you know if you're still covered?"