MedPAC proposed to slash payments in its March report to Congress. The commission specifically recommended a 30 percent payment rate reduction for off-campus standalone EDs that are no more than six miles from an on-campus hospital ED, according to the AHA.
In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.
The first nationwide benchmark study measuring the health care industry’s progress in combating the opioid crisis was released. This important baseline analysis shows the positive steps clinicians and insurance plans have taken together – and identifies specific actions that can be taken to reduce addiction and abuse.
In its second round of online provider directory reviews, the Centers for Medicare & Medicaid Services found that 52% of the Medicare Advantage provider directory locations listed had at least one inaccuracy.
On January 24, 2018, 15 Kentucky Medicaid enrollees filed a lawsuit in the U.S. District Court for the District of Columbia challenging CMS’s authority to issue the work requirement policy and approve the Kentucky waiver. This issue brief answers 5 key questions about the Kentucky Medicaid Lawsuit.
ACA Medicaid expansion, was associated with an increased probability of patients presenting with less complicated surgical disease and a greater likelihood of patients receiving optimal surgical management after admission and linked to better access to surgery and higher quality surgical care, according to a new study from Harvard T.H. Chan School of Public Health.
America’s Health Insurance Plans (AHIP) released a report which details health plan effects by state, including the District of Columbia. “More people than ever have health care coverage today. But, for plans, their commitments are about so much more.” says Dr. Richard Bankowitz, Chief Medical Officer for AHIP.
U.S. News & World Report, the global authority in healthcare rankings, released the 2018 Best Medicare Plans. The new ratings are a resource for Medicare beneficiaries and their families searching for the best coverage options during the annual open-enrollment period, which began October 15 and runs through December 7, 2017.
The Centers for Medicare & Medicaid Services (CMS) released the Star Ratings for the 2018 Medicare health and drug plans. With the release of the Star Ratings, people with Medicare will have improved access to high-quality health choices for their Medicare coverage in 2018. This news comes on the heels of the recent release of the benefit and premium information for Medicare health and drug plans which shows that there will be more health coverage choices and decreased premiums in 2018.
America’s Health Insurance Plans (AHIP) released new research on exchange reinsurance stabilization efforts leading to higher enrollment in exchanges. Funding a $15 billion reinsurance stabilization package, in combination with a delay of the Affordable Care Act’s (ACA’s) health insurance tax (HIT) through the end of 2018 and guaranteeing funding of cost-sharing reductions (CSRs), could reduce average yearly premiums by $1,363 (a 17% reduction). Uncertainty in the individual market, rising premiums, and declining issuer participation have created the need for federal and state policy makers to address these issues to stabilize the marketplace.