Health Care Law Brief
APRIL 3, 2023
The 2024 EGR also accounts for effects from COVID-19 and other changes, such as lower morbidity from excess COVID-19-related deaths, lower total spending due to shifts in care from inpatient to outpatient settings (e.g., hip and knee replacements), and to reflect an increase in dual-eligible beneficiaries enrolling in MA.
Healthcare IT Today
MAY 5, 2023
billion by 2026 , driven in part by direct-to-consumer testing for health risks such as breast cancer and physician orders for prenatal testing, tumor molecular profiling and sequencing to diagnose rare disease. Such scenarios demand vigilance from health plans and new approaches to preventing inappropriate billing before it starts.
Hall Render
JUNE 22, 2022
The proposed reduction to home health reimbursement stems from the requirement that CMS “annually determine the impact of differences between assumed behavior changes … and actual behavior changes on estimated aggregate expenditures” under PDGM every year from 2020 to 2026. Behavioral Analysis and COVID-19.
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