Medicare & Medicaid
On Tuesday, the House Ways and Means Committee passed the "Helping Hospitals Improve Patient Care Act," a bill that, among other provisions, provides financial relief for hospitals that were in the process of building off-campus outpatient centers in 2015 when the reimbursement policy was changed.
The U.S. Department of Justice on Monday filed a notice to join a whistleblower lawsuit against for-profit provider Prime Healthcare alleging it routinely submitted inpatient claims for patients who should have been treated as outpatients.
A broad proposal by Medicare to change the way it pays for some drugs has drawn intense reaction and lobbying, with much of the debate centering on whether the plan gives too much power over drug prices to government regulators.
Avalere said the cost to beneficiaries could be higher if they bought in at a younger age, mainly because Medicare offers no financial out-of-pocket cap on services.
Survey, conducted by marketing research firm Nielsen, assessed attitudes about the health care system, and possible solutions, in five populous states: Texas, California, Florida, New York and Ohio.
Done right and paid right, house calls could prove to be a better way of treating very sick, elderly patients while they can still live at home, feds say.
Payers have until June 6 to submit documents for Medicare's Annual Election Period materials including the Annual Notification of Change, Evidence of Coverage and Summary of Benefits documents.
The proposal needs federal approval to modify the marketplace set up under the Affordable Care Act, which specifically prohibits such immigrants from joining the exchanges. Lara's bill SB10 would compel California to seek that approval.
The Centers for Medicare & Medicaid Services recently postponed its plan to release the new rating system, which would award one star to the worst-quality facilities and five stars to those with the best marks.
Proposed Medicare Part B drug payment models threaten medical practices and patients who are already financially strained due to the price of needed treatment, physicians told a House Energy and Commerce Committee Tuesday.