The rule is designed to advance health equity and support whole-person care. Medicare physician payments would decline 2.9% in 2025 under the new proposed policy from CMS that also aims to offer six new MIPS Value Pathways (MVPs): ophthalmology, dermatology, gastroenterology, pulmonology, urology, and surgical care.
The Centers for...
The Centers for Medicare & Medicaid Services (CMS) issued the Calendar Year (CY) 2025 Home Health Prospective Payment System (HH PPS) proposed rule on Wednesday. The agency's proposal also recommends cutting home health prospective payments next year by 1.7%.
Medicare payments to HHAs in CY 2025 would decrease in the aggregate by...Arizona News
The Centers for Medicare and Medicaid Services (CMS) released the HHS Notice of Benefit and Payment Parameters for 2025 Proposed Rule Nov. 15 which includes changes in network adequacy standards, the addition of routine adult benefits, revision of certain drug benefit requirements as well as minor changes to the new standardized plan...
It's safe to say that Medicare Advantage is now a well-established industry all its own -- within but separate from both the Medicare program and commercial insurance. With this new market dominance, the Medicare Advantage industry is now facing the same things all major industries must deal with: increased oversight, regulation and...
Last Friday, April 22, 2022, the Centers for Medicare and Medicaid Services (CMS) issued a proposal to rectify a few of the issues many Americans face with Medicare enrollment.
The CMS press release says the proposed rule will implement provisions from the Consolidated Appropriations Act of 2021 and President Joe Biden's executive...
Medicare Advantage now manages the care for 45% of all Medicare beneficiaries, which demonstrates a +3% point improvement in penetration over 2021 and 9% increase in total enrollment year-over-year. Due to these rapidly increasing enrollment numbers, the program is dynamic and under regulatory scrutiny as it responds to patient...
Last week, the Biden administration issued a proposed rule aimed toward making it easier for consumers to find affordable, comprehensive health coverage in 2023. The Centers for Medicare and Medicaid (CMS) have released the details of the proposed rule, which includes reversals of several Trump-era policies.
Benefits Pro reports...CMS Rules
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule on Monday that will expand the home health value-based purchasing (HHVBP) model, which was originally developed by the Center for Medicare & Medicaid Innovation (CMMI) in 2016. The rule also includes updates to the Medicare Home Health Prospective Payment...CMS Rules
The proposed Medicaid rule would have scrutinized eligibility determinations in the Medicaid program. Scheduled for publication in April, the policy was withdrawn Tuesday, March 24 by the Centers for Medicare & Medicaid Services.
The proposed rule was meant to strengthen the integrity of the Medicaid eligibility determination...National News
A proposed rule from the Centers for Medicare and Medicaid Services (CMS) last week would increase home health payments and eliminate a quality measure from the reporting program.
Net payments would increase by $250 million in 2020, or 1.3 percent, to ensure that home health payments remain consistent with current year statutory...National News
HHS released proposed rules for Medicare Advantage and Part D plans in November. On Tuesday February 26th, the Senate took testimony from seven drug company executives.
The pharmaceutical companies placed blame on the Pharmacy Benefit Management companies (PBMs) and warned that if they were to face outrageous solutions to lower...National News
The proposed rule released Friday, October 26 would give 2020 MA plans the option of offering government funded telehealth benefits to all MA members regardless of their rural or urban zip code.
Also included in the pitch from The Centers for Medicare & Medicaid Services (CMS) is a plan to unify the appeals processes across...
