Reimbursement

Executives cite rising medical costs due to increased utilization and an MA payment rate that came in below the medical cost trend.

HHS could potentially restart the administrative process for such a program.

The minibus package also funds HHS and extends acute hospital care at home.

Stocks slide after Q4 revenue and full-year revenue outlook fall short of forecasts.

"When considering estimated risk score trend in MA driven by coding practices and population changes, the expected average change in payments will be 2.54%," CMS says.

The number of new consumers buying plans this year is 2.8 million, compared with 3.9 million last year.

The CMS program known as the Wasteful and Inappropriate Service Reduction (WISeR) model requires PA for 17 services, but Carol Howard, VP of innovation and adoption at Janus Health, says she can see it expanding before the end of the pilot period.

Model enables state Medicaid agencies and Medicare Part D  to cover GLP-1 drugs.

HHS has appealed and has been joined by several pharmaceutical companies that want intervenor status.

When integrated with the EHR, automated technology upped billing from 2,500 remotes per month to 3,800 remotes per month, says Sallie Gustafson, RN, director of Medical Affairs at Murj.