Medicare & Medicaid
The bill would introduce more transparency and regulation to PBMs, and pharmacies would be required to report costs for medications.
MA patients typically see fewer avoidable hospitalizations and readmissions and lower rates of high-risk medication use.
For price transparency, CMS is requiring hospitals to display their standard charge information by conforming to a CMS template layout.
The proposed rule will also purportedly improve access to behavioral healthcare and make prior authorization more transparent.
Lawmakers are concerned that CMS' 2024 final Part C and D rule may not adequately address MA plans' increased reliance on AI.
Physician pay in final rule is untenable, providers say, as they laud the delay of MIPS policy and extension of telehealth flexibilities.
A final rule on nursing home minimum staffing levels is due out after the comment period closes on November 6.
Premier and the American Hospital Association laud a recent Supreme Court decision but say HHS is still acting unlawfully.
CMS had originally proposed a 2.2% decrease to account for the permanent behavior assumption adjustment.
Nostrum admitted it acquired Nitro OS from another manufacturer and continued to market it based on its preexisting FDA approval.