Fierce Healthcare

JANUARY 31, 2024

Medicare Advantage (MA) payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment. Medicare Advantage payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment.

Medicare 120

Medicare Medicare 120

Digital Health News

MAY 30, 2024

Entries for Digital Health Rewired Pitchfest 2025 are now open to start-ups, providing the opportunity to pitch to an audience of NHS leaders and investors.

Hospitals 69

Hospitals 69

Digital Health News

MAY 29, 2024

The Guernsey Government has announced that the first phase of the island's EPR implementation has been delayed to 2025 due to patient safety.

Governance 86

Governance 86

Med Law Blog

JULY 15, 2024

CMS proposed several telehealth changes in the 2025 Medicare Physician Fee Schedule Proposed Rule, issued July 10, 2024. CMS has also proposed that “immediate availability” for purposes of direct supervision for all other services will include real-time audio and visual interactive communications only through December 31, 2025.

Medicare 40

Medicare Medicare Telemedicine 40

Jane Sarashon

JULY 18, 2024

Following the BLS report on the CPI for June 2024, PwC published their new annual report from PwC titled Behind the Numbers 2025 tells us that commercial health care spending is expected to grow some 8.0% (Motor vehicle insurance costs grew a whopping 19.5% in the report, FYI). for Group plans and 7.5% and 7.0%, respectively.

Doctors 59

Doctors Prescription Drug Pricing Hospitals Health Insurance 59

Fierce Healthcare

FEBRUARY 5, 2024

Humana reaffirmed its guidance in the face of likely cuts in Medicare Advantage payment rates for 2025, despite saying the proposed decrease was higher than it expected. Humana reaffirmed its guidance in the face of likely cuts in Medicare Advantage payment rates for 2025, despite saying the proposed decrease was higher than it expected.

Medicare 97

Medicare Medicare 97

HealthIT Answers

JULY 3, 2024

The post 2025 ISA Comment Period Opens on the New ISP Platform! By Ashley Ashworth - It’s time for our favorite summer tradition—this time on a new platform! The annual comment period for the Interoperability Standards Advisory will be open June 12 – August 12, 2024. appeared first on Health IT Answers.

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Healthcare Dive

APRIL 24, 2024

Because of the final rates for next year, Humana will have to enact “larger benefit reductions to achieve stable margins,” its CFO told investors.

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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

JUNE 6, 2024

Hundreds of thousands of seniors could switch plans during next year’s open enrollment, depending on how drastically the MA market giants slash benefits in an attempt to improve profits.

Medicare 338

Medicare Medicare 338

HealthIT Answers

JUNE 4, 2024

CMS is gearing up for a complete transition to digital quality measurement in 2025, mandating organizations to extract data from their practices’ certified EHRs. The post Choosing the Right QPP Reporting Method for MSSP ACOs in 2025 appeared first on Health IT Answers.

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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 119

Hospitals 119

HealthIT Answers

APRIL 23, 2024

On April 10, 2024, CMS issued the fiscal year 2025 Medicare hospital inpatient prospective payment system and long-term care hospital prospective payment system proposed rule. The proposed rule would update Medicare fee-for-service payment rates and policies for inpatient hospitals and LTCHs for FY 2025.

Hospitals 59

Hospitals Payment Systems Medicare Medicare 59

HealthIT Answers

MAY 13, 2024

CMS reminder that the deadline to request a 2025 Qualified Clinical Data Registry measure preview meeting with CMS and the Merit-based Incentive Payment System QCDR/Registry Support Team is May 17, 2024. The post Deadline to Request a 2025 QCDR Measure Preview Meeting is May 17 appeared first on Health IT Answers.

Payment Systems 59

Payment Systems 59

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.

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ACA Medicaid Medicaid Hospitals 262

Innovaare Compliance

JUNE 30, 2024

Revised Regulations for MAOs Member Communication Materials CY 2025 On June 12, 2024, CMS announced the issuance of the model materials for CY 2025 2 reflecting the considerable revisions to Part D and other changes under the Inflation Reduction Act of 2022 (IRA) and multiple final regulations that will take effect in CY 2025 3.

Medicare 52

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

Medicare 59

Medicare Medicare COVID-19 Medicaid 59

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

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 Medicaid 52

Healthcare IT News - Telehealth

APRIL 22, 2024

If AMA makes these changes to RPM codes, coverage changes would most likely go into effect in 2025 or later. Private payers and health plans can choose not to update to the new code sets, but they rarely deviate from AMA's rules. What are some insights you glean from the direction the AMA is considering?

Medicare 180

Medicare Medicare Medicaid Medicaid 180

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

Center for Health Insurance Reform

APRIL 22, 2024

Department of Health & Human Services recently released a final rule setting standards for the Affordable Care Act Marketplaces and health insurers for plan year 2025.

Health Insurance 52

Health Insurance 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

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

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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KFF

JUNE 12, 2024

This KFF budget summary provides an analysis of global health funding in the FY 2025 House State, Foreign Operations, and Related Programs (SFOPs) Appropriations bill.

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Hanys

JUNE 14, 2024

AHA's 2025 Circle of Life Award recognizes hospitals and health systems that advance end-of-life and hospice care that is safe, timely, efficient, effective and equitable. Learn more and apply online through July 24.

Hospitals 52

Hospitals 52

KFF

JULY 9, 2024

This KFF summary details global health funding amounts in the FY 2025 House Labor Health and Human Services, Education, and Related Agencies (Labor HHS) appropriations bill and accompanying report.

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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

JULY 24, 2024

The acquisition, expected to close in the first half of 2025, will bring the health insurer into Connecticut.

Health Insurance 147

Health Insurance 147

Digital Health News

JULY 10, 2024

Dr Jessica Morley and Mike Bracken will return to Rewired next March as keynotes to inspire and inform the NHS’ digital leaders.

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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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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

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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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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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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