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% or $16 billion in 2025 over 2024 in expected MA payments. generics) beginning in 2025 [1].

Medicare 52

Medicare Medicare COVID-19 Hospitals 52

Fierce Healthcare

OCTOBER 31, 2023

Cleveland Clinic plans to launch a drone delivery service to bring certain medications directly to patients’ homes, starting in 2025. | Cleveland Clinic plans to launch a drone delivery service to bring certain medications directly to patients’ homes, starting in 2025.

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Healthcare Dive

MARCH 13, 2024

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

ACA 262

ACA Medicaid Medicaid Hospitals 262

Healthcare Dive

FEBRUARY 1, 2024

The CMS proposed a 0.2% dip in MA rates. However, analysts said regulators will likely improve the payment rate in the final notice.

Medicare 294

Medicare Medicare 294

Fierce Healthcare

APRIL 4, 2024

Walmart Health set to open first Houston location, delays clinic openings in Phoenix to early 2025 pminemyer Thu, 04/04/2024 - 15:36

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89

Digital Health News

SEPTEMBER 8, 2023

Royal Cornwall Hospitals NHS Trust (RCHT) is to develop a new EPR system to replace several digital and paper-based systems, with a launch expected in 2025.

Hospitals 123

Hospitals 123

Innovaare Compliance

FEBRUARY 25, 2024

The Inflation Reduction Act (IRA) of 2022 redesigned the benefit phases and reallocated cost sharing among beneficiaries, manufacturers, Medicare and drug plans; understanding the significant changes to actuarially project costs for 2025 becomes imperative. The Non-Defined Standard cost-sharing thresholds remain unchanged for CY 2025.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Innovaare Compliance

FEBRUARY 19, 2024

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ahead of the final notice to be published on April 1, 2024.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Innovaare Compliance

FEBRUARY 19, 2024

On January 31, 2024, the Centers for Medicare & Medicaid Services (CMS) released a draft of the 2025 Advance Notice describing the Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies ahead of the final notice to be published on April 1, 2024.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare Dive

APRIL 4, 2024

Now, Walmart plans to reach that goal in 2025. The retailer previously planned to have more than 75 health centers operational this year.

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Healthcare Dive

FEBRUARY 10, 2023

The CMS has laid out how it plans to implement a key provision of the Inflation Reduction Act requiring drugmakers to pay rebates on price hikes in Medicare that are greater than inflation.

Medicare 279

Medicare Medicare 279

Innovaare Compliance

JANUARY 15, 2024

The Prescription Drug Program, commonly known as Medicare Part D, is undergoing significant transformations in 2025 due to the Inflation Reduction Act (IRA) of 2022. The transformational changes in 2025 are highlighted below. CGDP will be replaced with a new Manufacturer Discount Program (MDP) in 2025.

Medicare 52

Medicare Medicare Compliance FDA 52

Fierce Healthcare

APRIL 27, 2023

Senators introduce bipartisan bill to boost residency slots by 14,000 from 2025-2031 dmuoio Thu, 04/27/2023 - 13:35

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96

Healthcare Dive

OCTOBER 18, 2023

The insurer is actively seeking ways to mitigate the financial impact of its star ratings drop, Elevance CEO Gail Boudreaux said during the insurer’s third-quarter earnings call.

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Healthcare Dive

APRIL 11, 2024

billion in 2025 under the proposed rule. Regulators said payments to hospitals would increase $3.2 However, the American Hospital Association called the hike “woefully inadequate.”

Hospitals 182

Hospitals 182

Fierce Healthcare

MARCH 28, 2024

Kaiser Permanente and a pair of investment firms have unveiled a joint venture to help older, low-income adults receive care support without needing to be moved from their homes. | The joint venture operates under a capitated payment model and aims to keep low-income seniors in their homes with a combination of medical and social services.

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HIPAA & Health IT

DECEMBER 28, 2023

Starting January 1, 2025, certain developers of health IT certified as per the ONC rules must meet new transparency requirements.

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97

Fierce Healthcare

MAY 5, 2023

Alignment Health's CEO predicts that the insurtech will break even next year, turn a profit in 2025 fdiamond Fri, 05/05/2023 - 15:10

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81

Healthcare Dive

FEBRUARY 5, 2024

Despite the uncertainty, the insurer reaffirmed its earnings outlook for 2025.

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264

Fierce Healthcare

NOVEMBER 3, 2021

Part D, Medicare Advantage drug plans must install cost-sharing cap by 2025 in new drug price bill. Wed, 11/03/2021 - 17:25.

Medicare 116

Medicare Medicare 116

Hall Render

MARCH 21, 2024

The Centers for Medicare & Medicaid Services (“CMS”) recently announced the ACO Primary Care Flex Model (“Flex Model”), a new voluntary model within MSSP for low-revenue ACOs, that begins January 1, 2025. ACOs currently participating in the MSSP may also participate in the Flex Model by applying to the MSSP as a renewal applicant.

Medicare 40

Medicare Medicare Medicaid Medicaid 40

Healthcare Dive

FEBRUARY 8, 2024

As for Medicare Advantage, the insurer said it expects proposed 2025 rates other payers have slammed as a cut would actually boost its benchmark rate.

Medicare 173

Medicare Medicare 173

Healthcare IT Today

MARCH 29, 2022

Healthcare IT Today recently partnered with CorroHealth on an e-Book called The Road to 2025: 5 RCM Trends that Are Shaping the Future of Healthcare. The e-Book is full of great insights into how the world of revenue cycle management (RCM) is changing and what healthcare organizations need to know to be prepared for this […].

Hospitals 52

Hospitals 52

Healthcare Dive

AUGUST 2, 2023

CVS also lowered its 2024 earnings outlook, citing cost pressures, and said investors should no longer rely on its 2025 target.

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246

Fierce Healthcare

MARCH 12, 2024

President Joe Biden's 2025 budget did not just touch upon cybersecurity, the drug price negotiation program and Medicare solvency, as the plan also suggested policy for mental health, health equity | Many significant policy items in Biden's proposed 2025 fiscal year budget don't grab the initial headlines, but he's looking to make (..)

Medicare 124

Medicare Medicare 124

Healthcare Dive

NOVEMBER 16, 2023

Beginning in 2025, plans sold in state-based exchanges would be required to meet time and distance standards for provider access under a new rule proposed Wednesday.

ACA 182

ACA 182

Healthcare Dive

MAY 3, 2023

The company’s recent big-ticket acquisitions are taking a toll on its financial outlook, though management told investors Wednesday the company still expects to reach its prior earnings targets for 2024 and 2025.

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245

Hanys

MARCH 29, 2024

This American Hospital Association prize honors health delivery organizations that demonstrate alignment between community health needs and co-designed programs. Honorees forge effective collaborations with a broad range of community organizations to improve access to care and address societal factors influencing health.

Hospitals 52

Hospitals 52

Fierce Healthcare

APRIL 1, 2024

Benchmark payments will still decrease 0.16% but the feds expect it will still pay up to $600 billion in payments to plans in 2025. . | CMS is not deviating from its January proposal to modestly rein in Medicare Advantage.

Medicare 143

Medicare Medicare Medicaid Medicaid 143

Healthcare Dive

SEPTEMBER 12, 2023

The partnership, which Walgreens plans to launch in ACO REACH in 2024 and Medicare Advantage in 2025, is the retail giant’s first significant move in the healthcare space since CEO Roz Brewer departed earlier this month.

Doctors 182

Doctors Medicare Medicare 182

Healthcare Dive

JANUARY 5, 2023

billion and $16 billion in sales in 2025. The company now expects the segment to bring in between $14.5

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Health Care Law Brief

FEBRUARY 8, 2024

This year’s Health and Mental Hygiene Bill (“HMH Bill”) (part of the Governor’s FY 2025 Executive Budget) proposes a $233 billion balanced budget, which includes $35.5 billion to fund Medicaid, $4.8 billion to address serious mental illness and $6 billion in federal funding through the 1115 Waiver.

Medicaid 52

Medicaid Medicaid Nurses Licensing 52

Healthcare Dive

MAY 17, 2022

The payer plans to open about 100 new value-based primary care clinics for Medicare patients between 2023 and 2025 through the latest deal.

Medicare 264

Medicare Medicare 264

Healthcare Dive

SEPTEMBER 28, 2023

The test developer will use the Series B funding to complete a 10,000-subject clinical trial ahead of a planned launch in 2025.

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162

Fierce Healthcare

APRIL 2, 2024

States now can add routine adult dental services as an essential health benefit, the Centers for Medicare & Medicaid Services announced in its 2025 Notice of Benefit and Payment Parameters fina | In its annual Notice of Benefit and Payment Parameters final rule, CMS prioritized dental and prescription drug benefits, network adequacy standardization (..)

ACA 110

ACA Medicaid Medicaid Medicare 110

Healthcare Dive

FEBRUARY 17, 2022

Bakul Patel, the Center for Devices and Radiological Health's chief digital health officer, will help FDA meet its 2022-2025 strategic priorities and set regulatory policies for the new technologies such as AI and machine learning.

FDA 231

FDA 231

Fierce Healthcare

JANUARY 31, 2024

. | HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025.

Medicare 124

Medicare Medicare 124