Susan Morse
The policy would have prevented PBMs from having their compensation linked to the list price of medications.
Fund will fall short of addressing other bill provisions such as provider tax cuts, says National Rural Health Association.
The model will leverage AI and machine learning for prior authorization of services vulnerable to fraud or inappropriate use, CMS says.
Half of U.S. counties lost HHAs from 2020 to 2024, says National Alliance for Care at Home.
A telehealth provision in bill makes permanent first-dollar coverage for High-Deductible Health Plan-Health Savings Accounts, says ATA.
Former Optum Health CEO Amar Desai has reportedly been named vice chairman of the unit.
A 2% to 3% increase can result in $500,000 in additional revenue during the year, AdvancedMD says.
The ad does not mention Medicaid, but asks Congress to consider legislation "that could have far-ranging negative consequences. ..."
Medicaid is often the highest line item in rural budgets, says Families USA executive director.
Among other changes, the rule shortens the open enrollment period starting in 2027.