Medicare & Medicaid
The longer duration, along with improved benchmarks and risk adjustment, is expected to attract a broader range of ACOs.
On Jan. 1, impacted payers will have limited time to respond to prior authorization requests, as mandated in the Interoperability and Prior Authorization final rule.
CMS distributed $3.3B to providers experiencing revenue disruptions, including $2.2B to hospitals, report says.
Humana has the ability to grow MA membership while diversifying into higher star-rated plans, analyst says.
The mandate, put into place under the Biden administration, burdened facilities, especially those serving rural and Tribal communities, HHS says.
Starting January 1, 340B hospitals will pay large sums upfront to buy drugs at the full wholesale acquisition price, lawsuit says.
Providers expected worse, as CMS originally proposed a 6.4% payment cut.
The brief, two-page notice filed the day before Thanksgiving gives no basis for the appeal.
CMS is proposing to remove measures focused on administrative processes or that do not convey variability in quality among plans.
CMS announces billions in savings for Medicare when first and second rounds of negotiations go into effect in 2026 and 2027, respectively.