Medicare & Medicaid
The 5-year model is testing for treatment in place of and for emergency transport to an alternative destination, such as a 24-hour care clinic.
Health plans doing business in Medicare, Medicaid, and the ACA are being asked to share claims data, and all information should be transferable, Verma says.
Medicare beneficiaries without low-income subsidies can expect to spend $6,894 a year out-of-pocket for treatment of MS.
The findings make a fiscal case for increasing prevention efforts among patents of all ages, not just the elderly.
Finance leaders are worried about the changing landscape, and many feel unprepared for what's to come.
Community Oncology Alliance commends proposal to overhaul what it calls secretive drug rebate system that drives list prices higher.
For the first time, MA plans may lower cost sharing for drugs such as Naloxone, to treat opioid overdoses.
Use of AI led to cost reductions including a 25 percent drop in hospital length of stay and 91 percent reduction in discharges to nursing facilities.
Massive gaps leave practices more dependent on reimbursement from commercial payers and commercial contracts, raise the potential of shrinking number of Medicare patients accepted.
Volume increase is the main cost driver, as the number of such procedures has sharply risen across nearly all ages under 65.