Policy and Legislation

With a rate announcement expected soon, MedPAC cautions that MA may worsen Medicare's sustainability.

The popularity of MA has exploded, but AHIP officials want to protect MA before the end of the pandemic signals a shift in flexibilities.

The move was made to avoid potential staffing issues and to give healthcare workers more time to comply.

This week's top stories include the Mayo Clinic halting the scheduling of appointments for patients in most Medicare Advantage plans, and an Oklahoma City hospital tightening security after COVID-19-related social media posts accused providers of murder.

UnitedHealthcare, for its part, is negotiating to bring Mayo in-network for MA members, citing the importance of continuity of care.

The bill comes in the wake of a U.S. Supreme Court decision blocking President Biden's nationwide vaccine mandate for large employers.

The leaders urged Congress to quickly disperse remaining funding from the Provider Relief Fund and add $25 billion.

The Eli Lilly drug awaits emergency use authorization from the FDA.

The biggest noncompliance was non-posting or incomplete posting of all of the negotiated prices for each item and service.

Dentzer said that healthcare in the U.S. "must become more patient-centered, coordinated, integrated, and accountable for both cost and quality."