Legislative Update – medicarereport.org

Wednesday, November 29, 2023

Latest:

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Part D/Prescription Drugs

Eileen Cook November 15, 2023November 15, 2023 Clawed Back Fee, CMS, Healthcare Costs, medicare, Medicare Part D, PBM Industry, Performance Fees

Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say

(By Arthur Allen for KFF Health News) The Biden administration’s first major step toward imposing limits on the pharmacy benefit

Health Care Finance Health Care Redesign Legislative Update

Eileen Cook November 9, 2023November 9, 2023 congress, Healthcare Costs, Surprise Ambulance Bills

Ambulance rides for just $100? Government advisers want major billing fixes

(By Bob Herman and Tara Bannow for STAT) A panel of government advisers finally has endorsed ideas for Congress to

Health Care Finance Legislative Update

Eileen Cook November 6, 2023November 6, 2023 No Surprises Act, Surprised Medical Billing

How has the federal process for surprise medical billing disputes performed?

(By Krutika Amin, Rakesh Singh, Kaye Pestaina, and Cynthia Cox for The Kaiser Family Foundation published November 2, 2023) In

Legislative Update Medicare Advantage

Eileen Cook October 30, 2023October 30, 2023 Healthcare Network Provider, Medicare Advantage, Requiring Enhanced & Accurate Lists of Health Providers Act

Senators want to bust Medicare Advantage ‘ghost’ networks

(By Rylee Wilson for Becker’s Hospital Review) Lawmakers are introducing a bill to crack down on inaccurate provider directories in

CMS Health Care Finance Health Care Redesign Legislative Update Medicaid Medicare - General Mental Health/Behavioral Health Part D/Prescription Drugs

Eileen Cook October 30, 2023October 30, 2023 Healthcare Costs, legislative update, Medicaid, medicare, Medicare Part D, PBM Industry

Senate committee plans Nov. 8 vote on wide-ranging health care package

By John Wilkerson and Rachel Cohrs for STAT) WASHINGTON — The Senate Finance Committee plans to vote Nov. 8 on

CMS Health Care - General Health Insurance Legislative Update Medicare Advantage

Eileen Cook October 19, 2023 CMS, Medicare Advantage, Medicare Advantage Ads, Older Adults, Senate Finance Committee

Marketers finding ways around new Medicare Advantage standards, lawmakers say

(By Rylee Wilson for Becker’s Hospital Review) CMS rules cracking down on Medicare Advantage advertising are a start, but there’s

CMS Health Care - General Health Care Finance Health Care Redesign Legislative Update Medicare - General

Eileen Cook October 11, 2023October 11, 2023 CMS, Healthcare Finance, medicare

Feds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats

(By Julie Appleby for KFF Health News) Don Smith remembers the moment he awoke in an intensive care unit after

Aging CMS Legislative Update Medicare - General Nursing Homes

Eileen Cook October 6, 2023October 6, 2023 medicare, Nursing Home, Older Adults

Medicare’s proposal on nursing home staff is ‘insanity,’ key expert says

(By Tara Bannow for STAT) Some of the country’s top Medicare experts aren’t sold on a new Biden administration plan

Aging CMS Health Care Finance Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook October 6, 2023October 6, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Vaccines

The Inflation Reduction Act’s big vaccine changes

The Inflation Reduction Act (IRA) of 2022 changed the vaccination coverage -plus reduced the cost of receiving those vaccines for

Health Care Finance Health Care Redesign Legal Actions/Court Decisions Legislative Update Part D/Prescription Drugs

Eileen Cook October 4, 2023October 4, 2023 Healthcare Costs, Inflation Reduction Act., Medicare Drug Price Negotiation Program, Medicare Part D, Older Adults

All in: Drugmakers say yes, they’ll negotiate with Medicare on price, so reluctantly

(By Sydney Lupkin for NPR) For the first time, Medicare is beginning to negotiate the prices of prescription drugs. Despite

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