Medicare & Medicaid
People with Medicare must opt into the Medicare Prescription Payment Plan to utilize the new benefit, CMS said.
Cityblock will provide care to members with serious mental illness and/or substance use disorder in Alliance's behavioral health plan.
The decision could cripple the ability of HHS and CMS to address critical issues such as regulating rapidly evolving technology like AI.
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
The proposed rule updates rates for intensive outpatient services at hospital outpatient departments and community mental health centers.
The share of adults who reported delaying or forgoing medical care because of cost declined from 12.1% in 2019 to 9.7% in 2022.
The rule expands hold harmless arrangements to prohibit providers from agreeing to redistribute Medicaid payments amongst themselves, says Zubin Khambatta, a healthcare attorney and partner at Holland & Knight.
The entities agreed to maintain services, provide capital investments and protect competition in the healthcare market.
The rule also proposes to extend Medicare payment to dialysis in the home setting for beneficiaries with acute kidney injury.
The drugs will have a lowered Part B coinsurance rate, since each drug company raised prices faster than the rate of inflation.