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On May 15, 2023, the Centers for Medicare and Medicaid Services (CMS) released an updated Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) Reference Guide, found here:WCMSA Reference Guide v3.9, May 15, 2023 (off-release). The changes included in this version of the guide are ...
Abstract 4120515: Impact of 2022 AHA/ACC/HFSA Heart Failure Guideline Value Statement Publication on Medicare Drug Coverage Policiesdoi:10.1161/circ.150.suppl_1.4120515Health policyHeart failureGuidelinesCost-effectivenessBackground:Patients with heart failure (HF) often have difficulty obtaining life-saving...
The Comprehensive Guide to:Medicare Advantage Plans Since the establishment of Medicare Advantage Plans in 1997, the coverage has grown exponentially and now covers 26 million people in the United States. However, despite this being such a significant health insurance option, many still misinterpret ...
This was a retrospective, claims-based analysis following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guideline. Study Population Our study population consisted of all Medicare patients receiving long-term dialysis in 2020, derived from the CMS clinical and...
However, this may not be a big concern because, under the current guideline and insurance coverage policy, a person who had a colonoscopy for screening would not have another colonoscopy for the purpose of screening during the next 10 years. Last, these results may not be generalizable to ...
Section 106(d) of MACRA provides that the development, recognition, or implementation of any guideline or standard under the ACA, Medicare, or Medicaid cannot be construed to establish the standard of care or duty of care owed by a health care provider to a patient in any medical malpractice...
In this commentary, we utilize a patient case to spotlight the interplay between guideline-concordant prescribing and CRN within older adults and explore potential solutions and areas for additional research.doi:10.1111/jgs.17775Mia E.Lussier