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Medicare Pay: Budget Sequester Adds to Annual Payment Rate Woes
Much like the Medicare sustainable growth rate formula, the budget sequester that also threatens the program in 2013 is cryptically named and arbitrary in nature.
The sequester, a governmentwide spending reduction plan for the next decade, is not based on health policy, analysts say. Lower funding won’t offer health professionals incentives to improve patient care, and it won’t discourage fraud. The metaphor that critics of the plan often cite is the budgeting mechanism functioning not as a surgical scalpel, but as a meat ax or a buzz saw — eviscerating federal agency budgets over a period of nine years. Though Medicaid and Social Security are exempt from the reckoning, all other areas of the government will share in the budgetary pain.
Read the full story: http://tinyurl.com/bvrtvxg
Source: amednews.com
What's at Stake as Oral Arguments Are Presented in the Braidwood Case? Q&A With Richard Hughes IV
April 21st 2025Richard Hughes IV, JD, MPH, spoke about the upcoming oral arguments to be presented to the Supreme Court regarding the Braidwood case, which would determine how preventive services are guaranteed insurance coverage.
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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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Comparing Breast Cancer Treatment Outcomes Between Fee-for-Service and Medicare Advantage
April 4th 2025This study examined postdiagnosis breast cancer treatment outcomes for Medicare Advantage vs fee-for-service (FFS) Medicare in Ohio and found no significant differences overall but disparities for Black patients with FFS Medicare.
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