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 those with Part D prescription plans the option to spread the c...
Parkinson's Foundation study identifies gaps in care for people with Parkinson's disease (PD), utilizing 2019 U.S. Medicare data. This data represents 90% of people living with PD in the U.S., making it the most timely and comprehensive study of those with PD. Credit: Parkinson's Founda...
The largest Medicare-sponsored effort to test new payment models--the ACO shared-savings model, in which groups of providers are held responsible for the quality and cost of care delivered to their patients, and share in cost savings that are generated from their interventions--has grown ...
The newly finalized rule now requires Medicare Advantage plans to do the following: Ensure that a prior authorization approval, once granted, remains valid for as long as medically necessary to avoid disruptions in care; Conduct an annual review of utilization management policies; ...
New Medicare rule streamlines prior authorization in Medicare Advantage plansYoung, Kerry DooleyCardiology News
average Medicare-related capital costs were only 3% higher in the first two years of operation and Medicare utilization was 15% lower. Most of the new hospitals were also part of a larger healthcare chain that may have been able to provide reserve capital to the newer hospitals, if needed....
the annual cost to Medicare could be as much as $26.8 billion. But payers are talking about the costs while remaining silent on the benefits. In 2023, according to the U.S. Joint Economic Committee, obesity caused $5,155 in average excess medical costs per person diagnosed as obese. That...
or are refractory to current therapies results in minimal budget impact ($0.009–$0.027 per member per month for commercial and Medicare plans in years 1 to 3) from the US payer’s perspective, while providing an excellent alternative to address the unmet needs in this patient population [41]...
In 2023, according to the U.S. Joint Economic Committee, obesity caused $5,155 in average excess medical costs per Medicare patient diagnosed as obese. That’s $520 billion in preventable health care costs — an impressive return on investment. New, better medications are the best and swift...
The Inflation Reduction Act (IRA), signed into law in August 2022, enacted substantial changes to the Medicare program, including the establishment of a Medicare Inflation Rebate (the Inflation Rebate), which requires drug manufacturers to pay Inflation Rebates t...