Medicare & Medicaid
Certified IDR entities have now resumed processing all payment determinations.
For acute care hospitals, the Medicare Advisory Payment Commission recommends a higher-than-current-law FFS payment update.
The first set of negotiations will occur during 2023 and 2024 and result in prices effective in 2026.
According to a recent report from HHS, 1,200 prescription drug prices increased faster than inflation in 2021.
Drug companies will pay rebates or face fines for raising prices faster than inflation.
The discussion about Medicare cuts is heating up, and insurers are confident their estimates are more accurate than those from CMS.
MGMA and WEDI want the CMS provisions implemented before the current proposed date of January 1, 2026.
The group says it would support a "smooth transition" back to normal Medicaid eligibility during the redetermination process.
The partners said their deal would pair the health system's established telehealth and hospital-at-home programs with Best Buy's in-home services.
Proposed changes to MA risk adjustment would result in an average payment cut of 3.7%, AHIP says in its own comment letter.