“What I would look forward to in 2025 is: let's stop talking about these short-term patches, and let's come up with a viable, long-term solution for physician reimbursement that will continue the access for patients and the stability of medical practices so that we can basically do what...
CMS hasfinalizedpolicies to increase access to marketplace coverage and expand essential health benefits (EHBs) in the HHS 2025 Notice of Benefit and Payment Parameters final rule. “Access to affordable, quality health care options remain a concern across the country and ...
Effective June 3, 2024, the Final Rule applies to coverage beginning on Jan. 1, 2025. The Centers for Medicare & Medicaid Services (CMS) published aFinal Ruleon April 4, 2024, that makes a number of changes to regulations governing the Programs of All-Inclusive Care for the Elderly (PACE)...
March 13, 2025 Explore the impact of duty drawback, when businesses reclaim duties paid on imported goods that are later exported, destroyed or used in manufacturing exports. Thought Leadership Deep Diving into Salient Tax Measures of the Singapore Budget 2025 ...
In the recently issued calendar year 2025 Physician Fee Schedule final rule (Final Rule), the Centers for Medicare & Medicaid Services (CMS) finalized a number of policies related to the Medicare Prescription Drug Inflation Rebate Program (the Program). CMS established...
2025. The proposed estimation methodology was intended to fulfill the IRA requirement to remove 340B units from rebate calculations for Part D inflation rebate calculations beginning on January 1, 2026. Instead, CMS notes in the Final Rule that it will explore est...
Fierce Healthcare reportsthat Humana is weighing its options to challenge the rule. Humana CEO Bruce Broussard said the company is still reviewing the rule but that it was “disappointed” with exclusions in the final regulation. “We are considering all of our options to address or...
Without congressional action, the statutory limitations that were in place for Medicare telehealth services prior to the COVID-19 pandemic will once again take effect beginning Jan. 1, 2025. Overall, CMS described its efforts under the PFS final rule as one more step toward creating a...
CMS said in the final rule that it continues to believe that the Radiation Oncology Model “would address long-standing concerns related to RT delivery and payment, including the lack of site neutrality for payments, incentives that encourage volume of services over the value of services, and cod...
beneficiaries, including the MSSP Pathways to Success ACO model, the ACO REACH model, earlier ACO models, as well as models focused on specific specialties. Barring any efforts by the Trump administration to alter the final rule, the IOTA Model will run from July 1, 2025, through June 30, ...