Author's posts
DOJ appeals Texas court decision blocking preventive care coverage
The Department of Justice has appealed a decision by a Texas court to block preventive care covered under the Affordable Care Act for HIV, reproductive health and other interventions.
The appeal was filed on March 31 in the United States District Court…
Inpatient psychiatric facilities get an estimated 1.9% payment increase in 2024
Inpatient psychiatric facility payments are estimated to increase by 1.9%, or $55 million, in 2024 relative to 2023, in the Inpatient Psychiatric Facility Prospective Payment System proposed rule released by the
CMS proposes to increase inpatient rehab facility payments by 3%
The Centers for Medicare and Medicaid Services has issued an annual update to the Medicare payment policies and rates for inpatient rehabilitation facilities.
Stakeholders support CMS’ plan to phase in risk adjustment over 3 years
Health insurers and stakeholders have expressed support for the Centers for Medicare and Medicaid Services’ plan to phase in changes to the risk adjustment model over three years, in the 2024 Medicare Advantage Program and Part D Payment Policies relea…
Medicare Advantage plans get a 3.32% increase in final payment rates
The Centers for Medicare and Medicaid Services anticipates a payment increase for Medicare Advantage plans of 3.32% from 2023 to 2024, which is approximately a $13.8 billion increase in MA payments for next year, according to the 2024 Medicare Advantag…
Texas court blocks preventative care coverage for HIV, reproductive health
Providers and payers are speaking out against a Texas court decision yesterday that blocks preventative care coverage, including for HIV, cancer, and a range of reproductive health interventions, mandated in the Affordable Care Act.
UnitedHealth Group reduces use of prior authorization process by 20%
Ahead of a final rule that would limit the amount of time insurers have to approve prior authorization requests and would require an electronic, FHIR API standard, UnitedHealth Group on Wednesday said it would reduce the use of its prior authorization …
Narcan is now available over the counter
The Food and Drug Administration has approved the first nonprescription, “over-the-counter” naloxone nasal spray, Narcan.
Ninety four percent of physicians report care delays due to prior authorization, AMA says
Ninety four percent of physicians report care delays associated with prior authorization, according to a recent survey released by the American Medical Association.
The survey underscores the urgent need for reform and regulation of prior authorization…
CVS and Signify’s $8 billion deal expected to close this week
CVS Health has announced that it expects to complete its $8 billion acquisition of Signify Health on or around March 29, subject to the satisfaction or waiver of the remaining customary closing conditions set forth in the merger agreement.
The companie…
