Medicare & Medicaid
The discussion about Medicare cuts is heating up, and insurers are confident their estimates are more accurate than those from CMS.
MGMA and WEDI want the CMS provisions implemented before the current proposed date of January 1, 2026.
The group says it would support a "smooth transition" back to normal Medicaid eligibility during the redetermination process.
The partners said their deal would pair the health system's established telehealth and hospital-at-home programs with Best Buy's in-home services.
Proposed changes to MA risk adjustment would result in an average payment cut of 3.7%, AHIP says in its own comment letter.
The groups maintained that additional cuts to Medicaid would only cause further difficulties on the heels of the COVID-19 pandemic.
The donations, according to the Department of Justice, were aimed at increasing Medicaid payments received by LRMC.
Lower COVID-19 costs and better results in the individual market contributed to insurers' strong performance.
The reduction in private insurance premiums, BCBSA found, would increase federal tax revenues by about $29 billion.
The U.S. alleges that a UPMC chair performed as many as three surgical procedures at the same time, as well as other potential violations.