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House committee holds first hearing on Medicare for All bill
Providers looking to reduce costs need to address the social determinants, Humana says
A Medicare Advantage member who is food insecure can have up to 26.6 unhealthy days a month, correlating to 10 hospital admissions per thousand, or $15.64 per member per month in higher medical costs.
Amazon markets PillPack and offers one-day delivery for Prime members
CMS nursing home star ratings overhaul sees 37% of skilled nursing facilities losing 1 or more stars
Hospitals use the ratings on quality measures as they seek skilled nursing facilities for inclusion in their preferred networks.
CMS gives states 3 options to test care models for dual eligibles
A joint contract between CMS, states and health plans would pay a capitated amount to provide integrated Medicare and Medicaid services.
CMS proposes to pay for transformative IT
The change would ramp up add-on payments to hospitals that implement new tech and increase the wage index for rural and other qualifying hospitals.
CMS Administrator Seema Verma promotes state waivers to Affordable Care Act
Pre-existing coverage remains protected, though a new type of high risk pool approach could better tailor coverage for these enrollees, Verma says.
Medicare Hospital Insurance Trust Fund will run out money in 7 years, trustees say
Part D drug spending projections are lower than last year because of slower price growth and a continuing trend of higher manufacturer rebates.
Centers for Medicare and Medicaid Services unveils five primary care payment model options
The Primary Care First payment model will provide payment to practices through a simplified total monthly payment to allow clinicians to focus on caring for patients rather than their revenue cycle, CMS says.
CMS proposes $887 million increase for skilled nursing facilities
SNFs will be scored on a measure of potentially preventable hospital readmissions and on two new quality measures for interoperability.
