On November 26th, 2024, the Centers for Medicare & Medicaid Services (CMS) shared a new report titledWorkers’ Compensation Medicare Set-Aside (WCMSA) Fiscal Year Statistics 2024. The report provides five fiscal years of data regarding Workers’ Compensation Medicare Set-Aside (WCMSA) Proposed Va...
“The Medicare physician payment final rule continues our work to strengthen primary care while also supporting preventive care and promoting better access to behavioral health care," said HHS Secretary Xavier Becerra in a press release. "In addition, the final rule codifies and buil...
Under Medicare, a service can only be billed by one clinician, and if non-physician practitioners bill for a service, they only receive 85 percent of the total Medicare rate. The primary issue around split/shared services is deciding who provides the "substantive" portion of the se...
Medicare hospice payments could grow by as much as 2.8 percent, or $720 million, next year under arulerecently proposed by CMS. The federal agency released the proposed rule on Friday. It seeks to update the Medicare payment rates for hospice care in fiscal year (FY) 2024 based on a ...
CMS released its Advance Notice of Methodological Changes for Calendar Year (CY) 2025 for Medicare Advantage (MA) Capitation Rates and Part C and Part D Payment Policies.
CMS established the Program to implement the Inflation Reduction Act of 2022 (IRA) requirement that drug manufacturers pay rebates for certain products reimbursed under Medicare Part B and Part D if the price of those products increases faster than the rate of inflatio...
Reports on the information that the Centers for Medicare and Medicaid Services (CMS) has increased Medicare rate for partial hospital providers in the U.S. Recalculation of the hospital and community mental health center cost-to-charge ratios; Analysis of the data resulted in reduced cost per ...
1. ArteraAI receives Medicare payment rate for the ArteraAI Prostate Cancer test. News release. ArteraAI. January 3, 2024. Accessed January 4, 2024. https://www.businesswire.com/news/home/20240103190751/en/ArteraAI-Receives-Medicare-Payment-Rate-for-the-ArteraAI-Prostate-Cancer-Test ...
The rule includes a proposed unadjusted national average payment rate of US$21,376.53 for the device in 2024. The Centers for Medicare & Medicaid Services (CMS) has issued the 2024 Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System...
The Centers for Medicare & Medicaid Services (CMS), in its annual National Health Expenditure estimate released in June, predicts that health care spending will grow by an annual average of 5.4% over the next 8 years, while GDP growth will average 4.6% per year over the same period. That...