Medicare & Medicaid
The upcoming 2023 outpatient payment rule is expected to provide more on Medicare enrollment, payment and quality reporting.
Participating oncology practices can expect to provide patient-focused Enhanced Services, such as 24/7 access to a clinician.
Recent reports show that some issuers and plans may not be providing this coverage, HHS says.
Justices declined the appeal without comment; UHC said in a statement that it would continue to comply with CMS rules.
HHS has announced new Colorado Option, a state-based health insurance option to lower premiums.
If all states adopted this option, as many as 720,000 pregnant and postpartum people across the country could gain access, CMS says.
CMS is proposing to apply a permanent 5% cap on decreases in the wage index.
DaVita claims Marietta Memorial Hospital Employee Health Benefit Plan's limited coverage for outpatient dialysis violates the statute.
CMS did not explicitly concur with the OIG's recommendation to develop its own source of race and ethnicity data.
The rule proposes a permanent 5% cap on negative wage index changes, regardless of the underlying reason for the decrease.