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COA Commends CMS on 2019 OPPS Proposed Rule
The Community Oncology Alliance (COA) announced their support of CMS’ 2019 Outpatient Prospective Payment System (OPPS) Proposed Rule.
The Community Oncology Alliance (COA) announced their support of CMS’ 2019 Outpatient Prospective Payment System Proposed Rule.
The rule proposes implementing site-neutral payments for off-campus provider-based departments, matching payment rates in the 2019 Medicare Physician-Fee Schedule Proposed Rule. CMS estimates that the site-neutral payment proposal would save Medicare recipients close to $150 million in lower copayments for clinic visits.
The proposed rule also extends last year’s 340B Drug Payment program reimbursement adjustment for hospitals to certain off-campus provider-based departments.
COA’s responded to the proposed rule by commending CMS for taking these steps to reform “important long-standing flaws in our nation’s health policy.”
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Shaping Dermatology's Future by Increasing Access, Data, and Advocacy
March 7th 2025Thy N. Huynh, MD, FAAD, Bruce A. Brod, MHCI, MD, FAAD, and Melissa Piliang, MD, FAAD, discussed expanding access to pediatric dermatology, dermatology data aggregation, and advocacy for Medicare physician payment reform, respectively.
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Politics vs Science: The Future of US Public Health
February 4th 2025On this episode of Managed Care Cast, we speak with Perry N. Halkitis, PhD, MS, MPH, dean of the Rutgers School of Public Health, on the public health implications of the US withdrawal from the World Health Organization and the role of public health leaders in advocating for science and health.
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Eliminating Enhanced PTCs Would Have Cascading Economic Impacts, Report Estimates
March 6th 2025Enhanced premium tax credits (PTCs) have made marketplace health insurance more affordable, and eliminating them could have sweeping impacts on consumers and the health care industry, according to a new report.
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