HIT Consultant

JUNE 15, 2022

According to the Centers for Medicare and Medicaid Services, U.S. trillion by 2028, which will only exacerbate the current spending trajectory, leading to an overburdened healthcare system and less satisfied patients. healthcare spending grew 9.7% in 2020, reaching $4.1 trillion, or $12,530 per person.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Health Populi

MAY 20, 2024

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.

FDA 71

FDA Medicaid Medicaid Medicare 71

Healthcare IT Today

DECEMBER 9, 2024

Earlier in 2024, the Centers for Medicare & Medicaid Services (CMS) issued the Interoperability and Patient Access Final Rule (CMS-0057-F)requiring impacted payers to implement and maintain an ePA-specific API to automate the process for providers.

Compliance 81

Compliance Medicaid Medicaid Public Health 81

HIT Consultant

AUGUST 15, 2022

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 billion in 2028, with spending per enrollee reaching $20,751.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Matt Kinley

OCTOBER 22, 2024

Other health facilities will start at $21 per hour in 2024, reaching $25 per hour by 2027 for community clinics and by 2028 for other facilities. Facilities with a large percentage of Medicare and Medicaid patients, rural independent hospitals, and small county facilities will start at $18 per hour in 2024, with a 3.5%

Compliance 40

Compliance Hospitals Medicaid Medicaid 40

Healthcare Law Blog

JANUARY 6, 2023

In addition to funding, the Act modifies certain telehealth provisions, expands and extends components of the Medicare and Medicaid programs, and supports initiatives within the behavioral health and substance use treatment spaces. Medicare Extension & Adjustments. reduction of the Medicare conversion factor.

COVID-19 52

COVID-19 Medicaid Medicaid COVID-19 Vaccine 52

Healthcare Law Blog

AUGUST 25, 2022

The expansive legislation includes key health care provisions, including drug pricing reforms, inflationary rebates, Medicare Part D benefit redesign, as well as myriad other updates. Medicare Drug Price Negotiation Program. The Inflation Reduction Act (“IRA”) was signed into law by President Biden on August 16, 2022.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

JULY 12, 2022

EOM is the next phase in the Biden Administration’s Cancer Moonshot initiative and will run from July 2023 through July 2028. The MEOS payment will be higher for beneficiaries dually eligible for Medicare and Medicaid. PGP’s across the U.S. are eligible to apply. Practical Takeaways.

Medicare 40

Medicare Medicare Payment Systems Medicaid 40

New Jersey Healthcare Blog

JANUARY 12, 2022

1846(a), the Department of Human Services, Division of Medical Assistance and Health Services published a notice of readoption of New Jersey Care … Special Medicaid Programs Manual. The Manual extends Medicaid eligibility to certain persons not eligible under the provisions at N.J.A.C. Effective September 28, 2028.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

Healthcare It News

JULY 10, 2024

Meanwhile, proposed payer-focused health IT certification rules were developed in coordination with the Centers for Medicare and Medicaid Services to support technical requirements included in the CMS Interoperability and Prior Authorization final rule. Requiring the adoption of USCDI version 4 by January 1, 2028.

Public Health 297

Public Health Medicaid Medicaid Medicare 297

Healthcare Law Blog

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). Health Equity in Medicare Advantage. Part D Medication Therapy Management Program.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

SEPTEMBER 6, 2024

Newsom California empowers AG to review PE acquisitions in healthcare Buster and Kristen Posey’s fight against pediatric cancer is healing and inspiring kids California hospital unveils plan for financial security: Housing, retail, and office space California physician sentenced for $2.8M drug developers. drug developers.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Kaiser Health News

AUGUST 12, 2022

First, it would give the federal government the ability to negotiate prices of some drugs purchased by Medicare beneficiaries, a tool that has long been opposed by the drug industry. Department of Health and Human Services to identify Medicare’s 100 most expensive drugs and then pick 10 for price negotiations starting in 2023.

Medicare 96

Medicare Medicare Prescription Drug Pricing Governance 96