Policy and Legislation
Physician shortages, poverty and isolation contribute to lack of access to care and poorer outcomes for rural Americans, HHS said.
Insurers are prohibited from imposing copayments, prior authorization and other requirements that are more restrictive than medical benefits.
The Commission rescinded earlier guidance that was opposed to increased regulatory oversight and transparency of PBMs.
The managed care organizations in the review denied one out of every eight requests for prior authorization in 2019.
Court case precedent and reinstatement of former market concentration thresholds will play a major role.
The FTC said that much in the statements is outdated, and not in tune with market realities.
The administration wants to educate consumers about the new Medicare prescription drug benefits under the Inflation Reduction Act.
AMGA and the AHA said the proposed cuts would hinder the ability of multispecialty medical groups to provide high-quality care to their patients.
CMS is also proposing to simplify the current performance-based payment structure for MDPP.
CMS is proposing to update OPPS payment rates for CY 2024 for hospitals that meet applicable quality reporting requirements by 2.8%.