Medicare & Medicaid
Three changes in the Advance Notice would, on average, cut MA rates in 2024 by 2.27%, AHIP says.
The proposed coverage of wheelchair power seat elevation equipment advances health equity, CMS says.
Payers' estimates of a more than 2% payment cut contradict projections from CMS, which projects a 1.03% increase for plans.
Under the voluntary model, Part D plans would offer a low, fixed copayment to patients picking their coverage.
CMS releases initial guidance on the Medicare Prescription Drug Inflation Rebate Program.
The company doesn't expect to grow MA in 2024, and it will likely shrink a little, says EVP and CFO Andrew Asher.
More than $1.7 billion in funds recovered involved the healthcare industry.
Portions of the final rule must be set aside, the federal court has ruled.
The RADV final rule comes after increasingly high profile instances of apparent over coding from Medicare Advantage Organizations.
The Advance Notice with Proposed Payment Updates incorporates risk adjustment policies released earlier this week.