Medicare & Medicaid
AARP says "Part D bailout" would be a windfall for big pharma; PhRMA counters that proposed changes would undermine Part D's structure.
CMS has made it clear that it wants health systems to share the risk of cost and outcomes.
CMS levies reimbursement penalties against hospitals that underperform on 30-day readmission rates, leaving for-profit hospitals at a disadvantage.
PBMs have been dogged by controversy for years, and yet they've become a fixture -- which David Henka sees as a real problem.
It has funds for behavioral and mental health providers, for potential EHR incentives and for hospitals to better care for infants with neonatal abstinence syndrome.
Households and businesses made up nearly half of the spending, meaning consumers are unable to spend in other sectors and businesses are crunched for resources.
Correlative research finds that Medicare spent nearly $1,000 less per member in counties with a high well-being ranking.
Of that total, $451 million was spent on men who were diagnosed with prostate cancer graded with a Gleason score of 6, considered unworthy of aggressive treatment.
Proposed rule on removing such mandates as "re-approval" is expected to save healthcare facilities $1.12 billion per year.
Due to the current political climate in the U.S., the report's authors are concerned that the disparities will only continue to get worse.