Compliance & Legal
"If the benefits of electronic health records are to be fully realized, patients must be confident providers have selected the most effective system – not the one paying the largest kickbacks," said one federal agent.
Such plans have left consumers with hundreds of thousands of dollars in medical bills, ACAP said.
Health insurers are no longer immune from federal antitrust scrutiny for conduct considered the business of insurance.
HHS is encouraging all relief fund recipients who have received aggregate payments exceeding $10,000 to establish a reporting account.
Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is “half-baked,” AHIP says.
This earlier release of the rate announcement will help MA and Part D plans better plan for 2022 plan costs, CMS says.
The data will be used in a study to assess how physician practice mergers and hospital acquisitions of physician practices affect the marketplace.
The changes are effective in 2022 and may lower enrollee cost sharing on the most expensive prescription drugs, CMS said.
Goals include reducing consumer costs, accelerating innovation and clarifying program requirements.
The rule is meant to ease undue burden for innovators and speed access to potentially lifesaving technologies.