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. Oncology and obesity will drive significant growth through 2028, IQVIA expects.

FDA 71

FDA Medicaid Medicaid Medicare 71

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

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

Healthcare IT Today

SEPTEMBER 12, 2023

A major justification for President Biden’s tax hike proposal is to shore up the tenuous finances of Medicare whose trust fund is forecasted to be depleted by 2028. Historically, it is the most prolific driver of family bankruptcy, and now it is on its way to bankrupting our country collectively.

Nurses 78

Nurses Doctors Medicare Medicare 78

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

Health Care Law Brief

FEBRUARY 2, 2024

The Waiver Amendment was approved on January 9, 2024, by the Centers for Medicare & Medicaid Services (“CMS”) under Section 1115(a) of the Social Security Act and will expire on March 31, 2027. The goal is for these Enhanced Services to be a covered benefit included in the MMCO premium starting in State Fiscal Year 2028.

Medicaid 52

Medicaid Medicaid Medicare Medicare 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

Hall Render

JANUARY 24, 2022

CMS predicts that home health expenditures will reach $201B by 2028, a 73% increase from 2020. Home health demand is driven by limited hospital resources, growth in telehealth and changes in Medicare policy per HealthPayerIntelligence.

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

HIT Consultant

AUGUST 28, 2023

According to Definitive Healthcare’s analysis of Medicare payments, health systems across the country are potentially losing out on $35 billion due to leakage. per year through 2028, according to a study from Grand View Research. In fact, 90% of health systems are not highly confident in their visibility into patient leakage.

Doctors 52

Doctors COVID-19 Hospitals Licensing 52

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

Verisys

JANUARY 13, 2022

21, 2021, HHS-OIG reported finding that 84% of Medicare beneficiaries received telehealth services from providers with whom they already had an established relationship. The states which have implemented payment parity laws include: Arizona. Alaska (for mental health services only). California. Connecticut. Illinois (expires Jan. New Jersey.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Public Health Telemedicine 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

Hall Render

SEPTEMBER 27, 2024

Residents in AL and IL facilities save the Medicare program money due to fewer skilled nursing stays, reduced emergency visits and fewer hospitalizations, according to recent data shared at the NIC fall conference. Trinity Health has experienced year-over-year growth of 10% in this community services division. These projects are part of a $2.5B

Hospitals 40

Hospitals Nurses Medicare Medicare 40

New Jersey Healthcare Blog

JANUARY 12, 2022

Effective September 28, 2028. The technical changes include: correcting all references to “Department of Health” to reflect the current name of that Department pursuant to P.L. Effective September 24, 2021; Technical Changes November 2, 2021. On November 1, 2021, at 53 N.J.R. 10:69, AFDC-Related Medicaid, or 10:71, Medicaid Only.

Licensing 40

Licensing Medicaid Medicaid Nurses 40

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

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

Fierce Healthcare

SEPTEMBER 8, 2021

House Democrats seek to add dental benefits to Medicare by 2028 as part of $3.5T Wed, 09/08/2021 - 12:11.

Medicare 126

Medicare Medicare 126

Healthcare IT Today

OCTOBER 18, 2024

Adapting to HTI-2’s E-Prescribing and Workflow Enhancements HTI-2 introduces significant updates to the e-prescribing landscape, most notably the required upgrade to NCPDP SCRIPT version 2023011 by January 1, 2028.

Compliance 78

Compliance Medicare Medicare Hospitals 78

Hall Render

SEPTEMBER 6, 2024

NATIONAL 5 issues to consider before selling a medical practice 774 nursing home closures in 4 years: Group warns of care disruptions 57% of rural hospitals lack maternity care: 19 states with the biggest gaps Children’s Hospital Association CEO talks about mental health crisis Dismissal Of Home Health-Related Class Action Lawsuit Against HHS Upheld (..)

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