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CMS proposes to expand Medicare benefits for mobility devices
The Centers for Medicare and Medicaid Services has released a proposed National Coverage Determination on power seat elevation equipment on wheelchairs.
A $2 Medicare drug list is among three models being tested by CMS
The Centers for Medicare and Medicaid Services is testing three models to lower the price of drugs, including having a $2 Medicare drug list for about 150 low-cost generics.
The Medicare $2 Drug List includes prescriptions for chronic conditions such a…
Kaiser, Mass General Brigham operating losses driven in large part by labor expenses
Two of the nation’s largest integrated health systems have reported financial losses, driven by labor shortages and increases in expenses and capacity.
Kaiser Permanente reported an operating loss of $1.3 billion for 2022 compared to operating income o…
Shift to virtual care not dependent upon payment parity, says TytoCare CEO
No matter what happens with reimbursement and other waivers put in place under the Public Health Emergency, telehealth is here to stay according to Dedi Gilad, CEO and cofounder of TytoCare.
“The shift to virtual care will not stop,” Gilad said
Drug companies to pay rebates for prices that go higher than inflation
Drug companies that raise prescription drug prices faster than the rate of inflation will pay rebates to the federal government or face fines.
The Centers for Medicare and Medicaid Services on Thursday released the initial guidance on the Medicare Pres…
Nursing diploma scheme likely not contained to Florida
The nursing diploma scheme may go beyond Florida as state boards check their staff records, according to Dr. Dani Bowie, vice president of Clinical Strategy and Transformation for staffing firm Trusted Health.
“The expectation is that this is not conta…
Drug prices, affordability, VA mental health in Biden’s fiery State of the Union address
In a fiery State of the Union speech punctuated by heckling from some Republicans, President Joe Biden last night outlined what he plans to do to “finish the job” his administration started.
Biden, 80, has yet to announce whether he’ll seek reelection …
Court rules as unlawful the arbitration process of No Surprises Act final rule
A federal court has vacated provisions of a final rule regarding the arbitration process under the No Surprises Act and remanded it back for further consideration.
On Monday, U.S. District Court Judge Jeremy Kernodle sided with the Texas Medical Associ…
Natural language processing creates an audit trail for risk adjustment
The best way for insurers to make sure they’re in compliance with the mandates of risk adjustment is to use natural language processing for accurate documentation and auditing, according to Dr. Calum Yacoubian, director, Healthcare Strategy, Linguamati…
HIMSSCast: The entangled legal battle over the No Surprises Act
The No Surprises Act, which was signed into law in 2020 and went into effect on January 1, 2022, aimed to take patients out of billing conflicts between providers and payers. By all accounts, this part of the law has been successful in preventing patie…
