The Centers for Medicare & Medicaid Services (CMS) has released new guidelines aimed at reducing medication costs in the US. The guidelines outline the Medicare Prescription Payment Plan, which will allow individuals with Part D prescription plans to spread the costs of their medi...
JAMA. 2024;332(10):780. doi:10.1001/jama.2024.15516 Full Text The Centers for Medicare & Medicaid Services (CMS) released its final part two guidelines to educate consumers about the Medicare Prescription Payment Plan, the agency announced. The plan, set to launch in 2025, allows thos...
The prior authorization changes, announced this week, are part of the Centers for Medicare & Medicaid Services' (CMS')2024 update of policy changesfor Medicare Advantage and Part D pharmacy plans Medicare Advantage plans' business practices have raised significant concerns in recent years. More than...
TheCenters for Medicare & Medicaid Services (CMS)has recently taken steps to enhance consumer safeguards within the Medicare Advantage (MA), Medicare Part D, and Medicare Supplement plans market. Through anewly issued ruling,CMS has established additional requirements for Medicare Third-Part...
The new guidelines, which take effect Jan. 1, 2024, provide low-income, undocumented residents eligibility under Medi-Cal coverage (the state's version of the federal government's Medicaid program for low-income individuals). Gov. Gavin Newsom announced the budget deal back in May, ...
The HHS also issued a new set ofguidelinesclarifying a longstanding requirement that hospitals must obtain written informed consent as a condition for being reimbursed by Medicare and Medicaid. "While we recognize thatmedical trainingon patients is an important aspect of medical education, this guidance...
A newruleby the Centers for Medicare and Medicaid Services to start collecting the data again for COVID-19, influenza and RSV is due to take effect in November. "As that data starts to come in again and gets to a robust enough level, the plan is that it would...
months after their report is done for officials to publish their guidelines.This timeline was decided long before Election Day, one person familiar with the process told CBS News.A spokesperson for HHS did not comment on the timing of the report, except to confirm that it is expected "later ...
The Centers for Medicare & Medicaid Services (CMS) is set to create two new C-APCs, dividing the existing Level 2 Intraocular C-APC 5492 into Level 2 and Level 3 Intraocular C-APC 5493. Additionally, a 3.1% increase in the Outpatient Prospective Payment System (OPPS) conversion factor is ...
Miss. A new "presumptive eligibility" law that takes effect Monday, July 1, 2024, allows earlier Mississippi Medicaid coverage during pregnancy. The law says Medicaid will pay for a pregnant woman’s outpatient medical care up to 60 days while her app...