The American Telemedicine Association said the newly released final rules move the healthcare industry closer to a value-based care model.
Category: Healthcare Finance News
CMS releases HHS risk adjustment data validation program final rule
Risk adjustment data validation ensures payment integrity and accuracy and it affects what plans are paid.
Hospitals need to post their negotiated prices in less than six short weeks
Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.
PhRMA, others sue HHS and FDA for allowing import of drugs from Canada
PhRMA questions the cost savings and says the rule leaves safety considerations to state governments, rather than the required federal oversight.
HHS will begin allocating Regeneron’s COVID-19 therapeutic this week
The treatment will be available at no cost to patients, although healthcare facilities may charge for the administration.
American Hospital Association and PhRMA question legality of Most Favored Nation Model
The interim rule would cut drug reimbursements to hospitals by an average of 65% when fully phased in, the AHA says.
CMS finalizes changes to Stark Law that hinder physician referral
The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS says.
HHS issues final rule ending pharmacy benefit manager drug rebates to insurers
Opponents say the rule will not lower drug prices and some question whether it is legal, having bypassed the public comment process.
Provider groups pressure Congress to freeze incentive payment thresholds for advanced APMs
The letter warns that the new thresholds are too high and will force many clinicians to exit from APMs and revert back to fee-for-service.
More than 803,000 select healthcare plans in the second week of open enrollment
It’s comparable to the first week of this year’s open enrollment, which saw 818,365 people sign up for coverage.
