Medicare & Medicaid
Expansion eligibility for the full low-income subsidy-benefit arrives as many are losing Medicaid coverage in the redetermination process.
CMS intends to send the first invoices in 2025 to manufacturers for the rebates owed to Medicare in 2023 and 2024.
The AI approach could improve the efficacy and accuracy of ECG assessment. The model enables interpretation of cardiac readings as language.
The model excludes ACOs, objects NAACOS.
There were also high rates of 'procedural disenrollments,' in which people didn't complete the enrollment process.
High expenses have been placing added strain on hospitals as they try to recover from the challenges of the pandemic.
Two organizations protest that treatment is no more accessible than under the agency's current clinical trial policy.
A provision in the IRA would ameliorate the out-of-pocket spending increases when people transition from commercial insurance to Part D.
A full two-thirds of enrollees aren't sure if states can now remove people from Medicaid if they no longer meet eligibility.
Contracts with managed care plans would include a report on spread pricing, CMS says.