Reimbursement
A complicated set of factors involving governmental and private-sector spending on health care will bring about significant changes over the next several years that will effectively flatten reimbursement levels, even as demand for services is expected to keep growing. While that’s generally bad…
The Centers for Medicare & Medicaid Services Dec. 2 issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) final rule. In addition to standard updates, the rule maintains previous payment cuts for certain drugs purchased under the 340B…
Summary of CMS’ CY 2021 Medicare physician fee schedule final rule
The Centers for Medicare & Medicaid Services (CMS) Nov. 20 released an interim final rule implementing the Most Favored Nation (MFN) Model, a new payment model through the Center for Medicare and Medicaid Innovation (CMMI) that will cut Medicare Part B payments for certain drugs to the lowest…
Responding to the Centers for Medicare & Medicaid Services’ physician fee schedule proposed rule for calendar year 2021, the AHA said it appreciates the agency’s effort to continue certain pandemic-era policies that have helped hospitals and health systems ensure access to care for patients…
It is unfortunate that RAND continues to make broad claims about pricing based on a cherry-picked and limited data set.
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Medicare Physician Fee Schedule: Proposed Rule for CY 2021
HHS Requesting Additional Data from Hospitals to Help Determine Distribution of Some CARES Act Funds
The Department of Health and Human Services (HHS) yesterday announced in an email that it is planning an additional $10 billion distribution of funds to hospitals that have been particularly affected by the increased burden of caring for those with COVID-19. To inform how these funds are…
The Centers for Medicare & Medicaid Services April 10 issued a proposed rule for the inpatient psychiatric facility (IPF) prospective payment system for fiscal year 2021.