Medicare & Medicaid
As expected, this year's ratings look much like 2023, given the methodology has remained stable, AHA says.
The government subsidy to Part D plans is shifting from being reconciled on the backend to a larger risk-adjusted payment upfront.
The hybrid payment structure may result in payment decreases that cannot be absorbed, the AHA said.
People with Medicare must opt into the Medicare Prescription Payment Plan to utilize the new benefit, CMS said.
Cityblock will provide care to members with serious mental illness and/or substance use disorder in Alliance's behavioral health plan.
The decision could cripple the ability of HHS and CMS to address critical issues such as regulating rapidly evolving technology like AI.
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
The proposed rule updates rates for intensive outpatient services at hospital outpatient departments and community mental health centers.
The share of adults who reported delaying or forgoing medical care because of cost declined from 12.1% in 2019 to 9.7% in 2022.
