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In the absence of generic alternatives to these pricey biologics, biosimilar drugs hold great promise for U.S. patients and their wallets.
CMS estimates that up to 5,000 primary care practices serving an estimated 3.5 million beneficiaries could participate in the model.
Comprehensive board orientation, planned retreats and an annual self-assessment are important to fostering a good relationship, execs say.
Hospitals cannot simply throw technology at the new payment model. Instead, thriving under MACRA will take leadership and analytical thinking, IT expert says.
Experts estimate that about half of all people turning 65 today will need daily help as they age, either at home or in nursing homes. Such long-term care will cost an average of about $91,000 for men and double that for women, because they live longer.
The Centers for Medicare and Medicaid Services announced a number of payment and policy changes last week, addressing Medicare inpatient rehabilitation facilities, hospice benefit and skilled nursing facilities.
The facility, which still needs regulatory approvals, will care for adults recovering from conditions such as stroke, neurological disease, injury to the brain or spinal cord and other long-term illnesses or injuries.
The University of California regents have agreed to pay nearly $8.5 million to settle two lawsuits alleging a well-known UCLA spine surgeon failed to disclose his conflicts of interest with a leading device maker before using the company's products in harmful surgeries.
In one of the first looks at privately insured patients with opioid problems, researchers paint a grim picture: Medical services for people with opioid dependence diagnoses skyrocketed more than 3,000 percent between 2007 and 2014. The study considers a huge cohort of people who have either job-based insurance or buy coverage on their own.
Despite the high cost of specialty drugs driving up expenditures, Medicare Part D prescription drug plan premiums are projected to rise by only about $1.50 over the average premium last year, the Centers for Medicare and Medicaid Services announced Friday.