Policy and Legislation

There was a relatively sharp increase in in-network percentages nationally and in all regions across all specialties.

The MA insurer sampled received at least $3.7 million of net overpayments for 2017 and 2018, the OIG found. 

The Medicare Prescription Payment Plan is part of a suite of provisions aimed at lowering prescription drug and healthcare costs.

The rule improves the flexibility and accessibility of federal funding so that Tribes can provide citizens with services, HHS said.

The new cap will be annually indexed to the rate of change in Part D costs, providing potential relief for beneficiaries.

The Accelerator is meant to help states unlock resources to reduce homelessness by addressing health-related social needs.

A final rule increases coordination among providers and strengthens confidentiality protections for SUD patients.

The goal is to ensure older adults can continue to receive services and supports in their homes, ACL said.

The groups claim HHS' interpretation is too restrictive, leading to patient harm and financial distress for hospitals.

<p class="MsoNoSpacing"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt">FHIR at Scale Taskforce (FAST) gives a level of interoperability that can't be met any other way and takes in groups such as payers that have yet to fully participate, says ONC National Coordinator Micky Tripathi.</span></span></span></p>