Medicare & Medicaid
HIMSS21
Total hip and knee replacement bundles from CMS spurred the risk-bearing system to seek a new way to maximize savings.
The mandate for hospitals to share their negotiated rates with MA and other payers, remains.
Long-term care hospital payments are expected to increase by about 1.1%, or $42 million.
The projected average basic premium is calculated based on plans' expectations of per capita drug spending in the coming year.
CMS has adopted a vaccination measure to assess whether skilled nursing facilities are taking steps to control the spread of COVID-19.
Meanwhile, in 2021, 94% of Medicare Advantage enrollees in individual plans are in one that offers access to some dental coverage.
The numbers also reaffirmed the expected individual Medicare Advantage membership growth range of about 425,000 to 475,000 members.
States should encourage their immigrant populations to access public health benefits, since the public charge rule is no longer in effect.
Potentially avoidable hospital readmissions cost Medicare approximately $17 billion per year, research shows.
New JAMA study shows higher levels of medical debt in non-Medicaid expansion states.