Healthcare IT Today

NOVEMBER 3, 2024

A Podimetrics survey found 65% of Medicaid beneficiaries living with type 2 diabetes also manage at least one chronic behavioral health condition. In other company news, Phreesia renewed its contract with CMMI through 2029 to support the kidney care alternative payment model.

Medical Billing 111

Medical Billing Licensing Medicaid Medicaid 111

Medisys Compliance

JULY 27, 2022

For dates of service calendar years 2027-2029, the reduced coinsurance is 10%. In the CY 2017 PFS Final Rule, the Centers for Medicare & Medicaid Services (CMS) modified coding and reporting of procedural services that include moderate sedation as an inherent part of the service, including for screening colonoscopies.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% The base beneficiary premium (BBP) will be capped at 6% from prior year from 2024 to 2029 [3]. or $16 billion in 2025 over 2024 in expected MA payments.

Medicare 59

Medicare Medicare COVID-19 Medicaid 59

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% The base beneficiary premium (BBP) will be capped at 6% from prior year from 2024 to 2029 [3]. or $16 billion in 2025 over 2024 in expected MA payments.

Medicare 52

Medicare Medicare COVID-19 Medicaid 52

Hall Render

AUGUST 27, 2024

The Centers for Medicare & Medicaid Services (“CMS”) will publish the 2025 Inpatient Prospective Payment System (“IPPS”) Final Rule (“Final Rule”) in the Federal Register on August 28 with an effective date of October 1, 2024. CMS estimates the amount available for value-based incentives at approximately $1.67 billion.

Hospitals 40

Hospitals Payment Systems Medicare Medicare 40

Innovaare Compliance

MARCH 1, 2022

1] The Centers for Medicare & Medicaid Services (CMS) has to establish an annual Part B premium that will adequately fund projected Medicare spending and maintain an adequate reserve in case actual costs are higher than estimated. annually on average between 2021 and 2029 compared to 4.4% in 2021 to $170.00

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Healthcare Law Blog

AUGUST 25, 2022

Premiums for Part D plans will be subject to a premium stabilization plan under which they are capped at an increase of 6% annually through 2029. Improvement of Access to Adult Vaccines under Medicaid and CHIP. Certain vaccines must be covered under Medicaid and certain cost-sharing is eliminated. Premium Stabilization.

Medicare 52

Medicare Medicare Medicaid Medicaid 52