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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

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Massachusetts governor signs law safeguarding telehealth coverage

Healthcare IT News - Telehealth

"Coverage for telehealth services may include utilization review, including preauthorization, to determine the appropriateness of telehealth as a means of delivering a health care service; provided, however, that the determination shall be made in the same manner as if the service was delivered in person," read the bill.

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Medicare Star Ratings 2021 Changes and Strategies to Address

Innovaare Compliance

It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.

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Health Disparities in America: JAMA Talks Structural Racism in U.S. Health Care

Health Populi

The authors suggest that investing more in prevention and health promotion for these groups could improve health outcomes and get to more equitable spending levels. ” Next, let’s visit the article looking at Trends in Differences in Health Status and Health Care Access and Affordability by Race and Ethnicity in the U.S.

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Health Provider News

Hall Render

And lawmakers are trying to help.

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Health Provider News

Hall Render

for physician referral scheme In Los Angeles, hospital CEO pay could be capped Kaiser Permanente ratings affirmed amid healthy financial profile Nurses vote ‘no confidence’ in California hospital administration, board Nursing facility, management company settle physician kickback allegations for $3.8M

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Carceral Health Care Is Designed to Fail

Bill of Health

And we know that our prisons, jails, and detention centers employ doctors with suspended and limited licenses as the exclusive source for health care for incarcerated people. Carceral health care occurs within a regulatory vacuum. Compare, for example, federal treatment of nursing homes with prisons.

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