Medicare & Medicaid
Individuals enrolled in low-spending plans generated less healthcare spending, used high-value drugs and services less, and were less satisfied.
Providers haven't been responding to Low Utilization Payment Adjustment thresholds as expected, the analysis finds.
The proposed rule has been commended by the Advanced Medical Technology Association for getting innovative technology to patients that need it.
About 260,000 currently insured cancer survivors ages 18-64 had coverage disruptions in 2018.
Failing to initially show a positive test result for a coronavirus patient could lead to appeals and administrative headaches.
At stake is $3.2 billion in revenue for a one-day length of stay as 80% of revenue for all services is in joint replacement.
Navigators are part of a wide array of options for consumers seeking assistance with enrolling in health coverage.
The new rule also requires hospitals to provide COVID-19 cases and related data to the U.S. Department of Health and Human Services.
The flexibilities have been made available to "enhance payment" for nursing homes that have implemented COVID-19 infection-control practices.
The group said these actions are being taken at a time when hospitals are in the midst of a crucial pandemic response.