Healthcare Law Blog

MARCH 15, 2023

Further, PBMs have been found to encourage drug innovation and generate savings on specialty medications, and they are expected to save plan sponsors and consumers more than $1 trillion from 2020 to 2029. On March 1, 2023, the House Committee on Oversight and Accountability launched an investigation into PBM practices.

Medicaid 59

Medicaid Medicaid Medicare Medicare 59

Medisys Compliance

JULY 27, 2022

For dates of service calendar years 2027-2029, the reduced coinsurance is 10%. In the CY 2017 PFS Final Rule, the Centers for Medicare & Medicaid Services (CMS) modified coding and reporting of procedural services that include moderate sedation as an inherent part of the service, including for screening colonoscopies.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% The base beneficiary premium (BBP) will be capped at 6% from prior year from 2024 to 2029 [3]. or $16 billion in 2025 over 2024 in expected MA payments.

Medicare 59

Medicare Medicare COVID-19 Hospitals 59

Kaiser Health News

AUGUST 12, 2022

Under the bill, all vaccines recommended by the federal Advisory Committee on Immunization Practices will be fully covered by Medicare, as well as by Medicaid and the Children’s Health Insurance Program. Premium hikes would also be limited in 2024 to 6% for all beneficiaries through 2029.

Medicare 88

Medicare Medicare Prescription Drug Pricing Governance 88

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% The base beneficiary premium (BBP) will be capped at 6% from prior year from 2024 to 2029 [3]. or $16 billion in 2025 over 2024 in expected MA payments.

Medicare 52

Medicare Medicare COVID-19 Hospitals 52

Innovaare Compliance

MARCH 1, 2022

1] The Centers for Medicare & Medicaid Services (CMS) has to establish an annual Part B premium that will adequately fund projected Medicare spending and maintain an adequate reserve in case actual costs are higher than estimated. annually on average between 2021 and 2029 compared to 4.4% in 2021 to $170.00

Medicare 52

Medicare Medicare Overpayments Overpayment 52

Healthcare Law Blog

AUGUST 25, 2022

Premiums for Part D plans will be subject to a premium stabilization plan under which they are capped at an increase of 6% annually through 2029. Improvement of Access to Adult Vaccines under Medicaid and CHIP. Certain vaccines must be covered under Medicaid and certain cost-sharing is eliminated. Premium Stabilization.

Medicare 52

Medicare Medicare Medicaid Medicaid 52