Medicare & Medicaid
CMS says the rule takes initial steps in a larger effort to address what it sees as fraud, waste and abuse.
CMS released 2024 Medicare Advantage Program and Part D Payment policies on Friday.
The group issues recommendations to reduce health disparities and increase access to higher-quality care for underserved populations.
Senators Cassidy and Merkley contend that MA plans have a financial incentive to make beneficiaries appear sicker than they are.
The move is ahead of a final rule that is expected to reduce the time allowed for PA approval and require electronic FHIR API standards.
The FDA has approved the first nonprescription OTC naloxone nasal spray, Narcan.
CMS has released a proposed rule to speed up prior authorization approval.
Lawmakers said the legislation would offer Medicare beneficiaries acesss to breakthrough medical devices.
Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.
Value-based payment models by CMS have not yet resulted in significant savings to payers, providers or patients, says Health Affairs study.