Susan Morse
The finalized risk adjustment model reflects revisions focused on conditions that are subject to more coding variation.
CMS released 2024 Medicare Advantage Program and Part D Payment policies on Friday.
AHIP President and CEO Matt Eyles says he fully expects an appeal.
The move is ahead of a final rule that is expected to reduce the time allowed for PA approval and require electronic FHIR API standards.
The FDA has approved the first nonprescription OTC naloxone nasal spray, Narcan.
CMS has released a proposed rule to speed up prior authorization approval.
The acquisition strategically aligns CVS to the ongoing trend of home health for an aging population.
Ninety percent rate clinician burnout as a major concern for their provider organizations.
Individuals can be assisted, "perhaps even literally while waiting for their clothes to dry," says UPMC for You president.
Value-based payment models by CMS have not yet resulted in significant savings to payers, providers or patients, says Health Affairs study.