Medicare & Medicaid
"If I were a hospital administrator right now, I'd have a tent outside of every entrance, (asking) do you know if you're still covered?"
Drug negotiation with manufacturers is government price fixing and is unconstitutional, groups say.
The science is there, but not the capital to get certain drugs to market. That means choices are being made, one says.
More than two-thirds of individuals who had Medicaid during the pandemic had their coverage terminated for procedural reasons, according to KFF.
One allows managed care plans to complete certain parts of the renewal form on behalf of Medicaid beneficiaries.
Expansion eligibility for the full low-income subsidy-benefit arrives as many are losing Medicaid coverage in the redetermination process.
CMS intends to send the first invoices in 2025 to manufacturers for the rebates owed to Medicare in 2023 and 2024.
The AI approach could improve the efficacy and accuracy of ECG assessment. The model enables interpretation of cardiac readings as language.
The model excludes ACOs, objects NAACOS.
There were also high rates of 'procedural disenrollments,' in which people didn't complete the enrollment process.