Kaiser Health News
APRIL 8, 2022
Prescription drug costs for California’s massive Medicaid program were draining the state budget, so in 2019 Gov. The new Medicaid drug program debuted this January, with a private company in charge. Centene was already a big player in state Medicaid drug programs — but one with a questionable record. SACRAMENTO, Calif.
Kaiser Health News
AUGUST 12, 2022
The negotiations would apply first to drugs people get at the pharmacy, but in the later two years, drugs that people get in doctors’ offices could also be covered. The inflation protections will also apply to certain drugs, such as biologicals, that patients get in a doctor’s office. One is the cap on price hikes.
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Bill of Health
JANUARY 3, 2023
Although three in four doctors support scrapping state medical boards in favor of a single federal license, such sweeping reform is likely far off. Sebelius (2012) , which upheld the Affordable Care Act while declaring the individual mandate a violation of the Commerce Clause. By Timothy Bonis. Oregon , and NFIB v.
Healthcare Law Blog
SEPTEMBER 28, 2023
The Centers for Medicare & Medicaid Services (“CMS”) released the final rule on risk adjustment data validation (“RADV”) audits of Medicare Advantage (“MA”) organizations (the “Final Rule”) on January 30, 2023. CMS previously addressed this problem and provided for a solution in its February 2012 announcement of the FFS Adjuster.
Health Populi
AUGUST 5, 2019
Power is that only one in ten Americans have ever used telehealth or virtual health to substitute for an in-person visit to a doctor’s office, hospital, ER or urgent care clinic in the past year. ” All 50 state Medicaid agencies have adopted some coverage for telehealth, with 10 states not advancing coverage since 2017.
HIT Consultant
OCTOBER 6, 2021
It doesn’t even take you to the Centers for Medicare & Medicaid Services (CMS) website. Add to this the fact that patients with multiple chronic illnesses see multiple doctors – all creating care plans and prescribing medications to address their specialized areas. Try Googling the word “caregiving.”
Kaiser Health News
JUNE 29, 2022
They also called for the Centers for Medicare & Medicaid Services, or CMS, to revive a foundering audit program that is more than a decade behind in recouping billions in suspected overpayments to the health plans, which are run mostly by private insurance companies. (D-N.J.), CMS is scheduled to release the audits later this year.
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