Reimbursement
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
Higher Medicare and Medicaid reimbursement is one step the federal government can take to preserve rural care access, CEOs say.
Half of adults who challenged coverage denials reported success in getting some or all denied services approved, survey shows.
For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.
CMS did not finalize the ability for follow-up visits to be conducted by telehealth.
The government subsidy to Part D plans is shifting from being reconciled on the backend to a larger risk-adjusted payment upfront.
The plaintiffs claim that Change failed to implement cybersecurity safeguards such as multifactor authentication.
The hybrid payment structure may result in payment decreases that cannot be absorbed, the AHA said.