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Medicaid final rules hand hospitals win on supplemental payments

Healthcare Dive

In two final rules issued Monday, the CMS also moved to crack down on financing gimmicks used by states and hospitals to increase federal Medicaid funding — though not until 2028.

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CMS Issues E-Prescribing Final Rule: Quick Takeaways in a No-Slowing-Down Reg Cycle – Regulatory Talk Series

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) finalized new standards for electronic prescribing on June 13, concluding a complicated, 18-month regulatory process that came in fits and starts and went by without attracting much industry scrutiny. This article is the fourth in the Healthcare Regulatory Talk series.

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Long Awaited Approval of the 1115 Waiver Amendment for NYS Medicaid – Just in Time for the New York State Executive Budget State Fiscal Year (SFY) 2025

Health Care Law Brief

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

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Prescriptions Are Up, Health Services Utilization Down, and GLP-1s Are a Major Growth Driver: IQVIA’s 2024 Update

Health Populi

The annual report details trends in health services utilization, the use of prescription drugs, patient financing of those costs, the drivers underpinning the medicines spending, and an outlook to 2028. By contrast, Medicaid enrollment declines in 2023 saw Rx’s per enrollee up from 9 prescriptions to 10 in 2023.

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HHS Proposes HTI-2 Rule to Enhance Healthcare Data Sharing and Interoperability

HIT Consultant

This aligns with the Centers for Medicare & Medicaid Services’ (CMS) Interoperability and Prior Authorization final rule, ultimately contributing to the delivery of value-based care. Advancing Value-Based Care: Another first is the inclusion of new certification criteria for health IT utilized by payers.

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The Transformation in Behavioral Digital Health Services

Healthcare Law Blog

A continued expansion of the psychedelic market in healthcare is expected in 2023 and the market worth of companies operating in this space is anticipated to be over $8 billion by 2028. [vi] Billion by 2028 – Exclusive Report by InsightAce Analytic,” Yahoo! The reimbursement landscape has changed since the start of the pandemic. [v]

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ONC says stakeholders can 'pick up and run' with new regs

Healthcare It News

Hoping payers will 'step up' On the payer side, ONC said it worked closely with the Centers for Medicare and Medicaid Services in creating voluntary certification requirements, for "greater assuredness that systems that go through that certification process will actually be able to interoperate with the provider organizations.