The Centers for Medicare and Medicaid Services on Wednesday released the parameters for the first year of prescription drug negotiations to lower prices in Medicare. The negotiations will affect only Medicare Part D for the first two years, for ten drugs during the first year and 15 in the second year, CMS said. After that, […]
Danish pharmaceutical company Novo Nordisk has announced it is lowering the U.S.
Insurers have been pushing back against a Medicare Advance Notice on payment rates and a Risk Adjustment Data Validation (RADV) final rule they say will affect consumers and taxpayers.
The Centers for Medicare and Medicaid Services has announced 27 prescription drugs for which Part B beneficiary coinsurances may be lower starting April 1 through June 30. Lower Part B coinsurance will go into effect on April 1 and will be reviewed quarterly. This coinsurance adjustment applies to certain drugs and biologicals covered under Medicare […]
Healthcare and technology groups want Medicare Advantage plans included in the Centers for Medicare and Medicaid Services’ proposed rule to expand access to health information and improve the prior authorization process.
The executive director of the Emory Healthcare Veterans Program and Trauma and Anxiety Recovery Program, Barbara Rothbaum, talks about how technology and traditional therapy join to help post-911 veterans in this two-week program.
A new coalition fronted by insurer group AHIP is pushing to avoid lapses in coverage for people who may be dropped from the Medicaid program once states restart redeterminations.
An upcoming HIMSS23 panel will look at how machine learning can find discharge medication errors. Wendy Paul, medication process architect at Seattle Children’s Hospital, and Kyle Longhurst, product manager at Pariveda, explain.
Providence St. Joseph Health reported a $1.7 billion deficit of revenues over expenses from operations for 2022. The large Catholic health system, with headquarters in Renton, Washington and Irvine, California, said operating losses were impacted by economic pressures from inflation, workforce expenses and elevated lengths of stay due to lack of patient access to post-acute […]