Medicare & Medicaid
A federal appeals court rejected the group's latest attempt to get higher reimbursements for the outlier payments they received from 2008 to 2011.
The resolution unlocks the reconciliation process, by which Congress can expand Medicaid to an estimated four million more people.
The policy is meant to ensure that at-risk patients in smaller settings have the same opportunities as others to receive the vaccination.
In 2019, Medicare spent $321 more per person for MA enrollees than it would have spent for traditional Medicare beneficiaries.
Coverage options under the Affordable Care Act helped keep the national uninsurance rate stable despite job losses, according to the Urban Institute.
CMS Administrator Chiquita Brooks-LaSure concurs with the recommendation and says CMS will further review capital payment methodology.
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.