CMS wants to require Medicare Part D sponsors to apply their rebates toward point-of-sales prices
Currently, Medicare Part D plan sponsors use savings they negotiate with drug companies and pharmacies to reduce costs for all
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CMS
CMS to ensure Medicare Advantage plans have adequate provider networks
The Centers for Medicare and Medicaid Services will start reviewing Medicare Advantage plans on a three-year cycles rather than only
Read MoreHospitals face $1.6B in Medicare payment cuts after judge dismisses lawsuit: 6 things to know
(By Ayla Ellison for Becker’s Hospital Review ) A federal judge has dismissed an injunction requested by hospital groups and
Read MoreMeet CMS’ new 5-star overall hospitals
(By Brian Zimmerman for Becker’s Hospital Review ) When CMS updated the methodology used in its Overall Hospital Quality Star
Read MoreCMS adjusts rules for ACOs affected by hurricanes, wildfires: 5 things to know
(By Molly Gamble for Becker’s Hospital Review ) CMS issued an interim final rule Tuesday to adjust the Medicare Shared
Read MoreCMS halts funding for designated state health programs under 1115 demonstrations: 4 things to know
(By Morgan Haefner for Becker’s Hospital Review ) CMS will stop accepting state proposals for new or renewing section 1115
Read MoreMedicare Fails To Recover Hundreds Of Millions Of Dollars In Lab Overcharges
(By Fred Schulte for Kaiser Health News) Five years ago, Companion DX Reference Lab hoped to cash in on cutting-edge
Read MoreThe American Clinical Laboratory Association sues CMS over reimbursement cuts
The American Clinical Laboratory Association (ACLA) filed a lawsuit (American Clinical Laboratory Association V Hargan, U.S. District Court, District of
Read MoreConfused on the various terminology used in the Medicare program?
Are you new to Medicare? Or are you confused on the various terminology used in the program? In Maurie Backman’s
Read MoreCMS shows desire to innovate with 2 major Medicare pay changes for primary care: 7 things to know
(By Kelly Gooch for Becker’s Hospital Review ) An analysis by the Urban Institute shows Medicare is willing to pay
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