Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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Medicare Medicare COVID-19 Medicaid 98

Jane Sarashon

AUGUST 12, 2024

retiring in 2024 will need to bank $165,000 to pay for health care costs in retirement — a sum that does not include long-term care, Fidelity Investments advises us in the 23rd annual look at this always-impactful (and sobering) forecast. The post The Health Care Costs for Someone Retiring in 2024 in the U.S.

Medicare 59

Medicare Medicare Hospitals Medical Billing 59

HIPAA Journal

OCTOBER 21, 2022

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

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HIPAA Compliance Medicare Medicare 107

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. ” Over 11 years ago, I listened to Dr. Toby Cosgrove, then CEO of The Cleveland Clinic, warn in his 2011 State of the Clinic annual address that, “we have to do better with less.”

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COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). 1] Kaiser Family Foundation, Medicaid Postpartum Coverage Extension Tracker (Mar. 31, 2022). [2]

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Medicaid Medicaid ACA Public Health 52

Health Populi

DECEMBER 7, 2018

These annual numbers come out of the annual report from the Centers for Medicare and Medicaid Services, published yesterday in Health Affairs. Underneath these macro-health economic numbers is the fact that inflation averaged 1.6% This means that health care spending grew twice the rate of inflation.

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Health Insurance Medicaid Medicaid Medicare 54

Health Populi

MAY 20, 2024

By payor, prescriptions per enrollee-member increased fastest for Medicare, as volume grew three times faster than enrollment as members were using more prescriptions — about 35 per enrollee in 2023. health care, noting that as of June 2023 there were 132 active shortages — 58% of which were in shortage for over 2 years.

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FDA Medicaid Medicaid Medicare 71