Policy and Legislation
WEDI applauded the pledge made by 60 organizations, including 11 health systems and 5 payers.
Total estimated payments to IPFs are expected to increase by 2.4%, or $70 million, next year.
That translates to an increase in payments of $1.16 billion compared to this year.
An Advanced Explanation of Benefits for upfront estimates remains an outstanding provision of the No Surprises Act, senators say.
Judge finds the law favors locally operated pharmacies, a violation of the Constitution's Commerce Clause.
The bill would fine health insurance companies that fail to pay physicians within 30 days after losing the IDR process.
It would require MA plans to reimburse for items and services at least what would have been paid under original Medicare.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
An investigation by HRSA revealed what the agency called “concerning features” that raised legal and ethical concerns.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.