CMS released the second part of draft guidance for the Medicare Prescription Payment Plan that outlines requirements for Medicare Part D plan sponsors, including outreach and education requirements, pharmacy processes, and operational considerations, for the program’s first year, 2025.
By Sarah Jane Tribble – Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned…
By Meena Seshamani MD PhD & Douglas Jacobs MD MPH – As we emerge from the COVID-19 public health emergency, it is increasingly clear that we must swiftly improve access to effective mental health and substance use disorder (collectively called behavioral health) treatment in order to meet the growing demand for such services.
CMS released draft guidance for comment that outlines the requirements and procedures for certain aspects of the new Medicare Prescription Payment Plan. By enabling seniors and people with disabilities with Medicare Part D coverage to spread out cost sharing over the year, the program could reduce the burden of high upfront out-of-pocket prescription drug costs.
In a new letter, 17 of the nation’s leading health stakeholder groups expressed their collective support for a bipartisan House bill introduced today that would solidify Medicare’s move to value-based care.
From KFF Health News – Their latest podcast, What the Health, The partisan fight in Congress over how to raise the nation’s debt ceiling to prevent a default has accelerated, as the U.S. Treasury predicted the borrowing limit could be reached as soon as June 1. On the table, potentially, are large cuts to federal spending programs, including major health programs.
In support of the President’s Executive Order on promoting competition and the Administration’s commitment to transparency, the U.S. Department of Health and Human Services is releasing ownership data for all Medicare-certified hospice and home health agencies.
By Meena Seshamani MD PhD, Douglas Jacobs MD MPH, Jean Moody-Williams RN MPP, Lee Fleisher MD – Approximately 61 million Americans live in rural Tribal, and geographically isolated communities across the United States. These communities often experience significant health inequities.
CMS took a critical step to advance health equity and access to care, awarding the first 200 of 1,000 Medicare-funded physician residency slots to enhance the health care workforce and fund additional positions in hospitals serving underserved communities.
By Art Gross – The annual open enrollment period for healthcare insurance provides another opportunity for scammers to take advantage of. From gathering personal information to receiving payments for non-existent plans, criminals will try nearly anything to score.
NAACOS is celebrating Medicare’s 57th Anniversary by recognizing the importance of accountable care in Medicare’s future and the role value-based care plays in improving patient care and making the program more financially sustainable.
The Biden Administration, through the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services, announced a new model aimed at improving cancer care for Medicare patients and lowering health care costs.
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