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MedPAC Takes Aim at Outpatient Billing Trend
As Congress tries to reform Medicare, the program's independent advisor has its own suggestions, including a call to end to what has become a revenue buffer for many hospitals and an integral part of their physician acquisition strategies.
As Congress tries to reform Medicare, the program's independent advisor has its own suggestions, including a call to end to what has become a revenue buffer for many hospitals and an integral part of their physician acquisition strategies.
In its 15th March report, the first of two published each year, the Medicare Payment Advisory Commission warns of a looming crisis for the nation, noting that the Medicare Trust Fund is slated to run dry by 2026 and arguing that “significant variation” in quality and spending is “putting beneficiaries at risk” both “medically and financially.”
The Commission, also known as MedPAC, is building on previous years’ proposals and calling for an equalizing of payments for similar services across the settings, as a way to replace what the 17 members describe in the report as an unorganized reimbursement system riddled with poor incentives.
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Source: Healthcare Payer News
Medicaid Budget Survey Highlights Postpandemic Challenges and Priorities
October 24th 2024The Medicaid budget survey for fiscal years 2024 and 2025 revealed state predictions are expecting a decline in Medicaid enrollment and an increase in spending next year due to the end of pandemic-era policies and federal funding.
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Exploring Racial, Ethnic Disparities in Cancer Care Prior Authorization Decisions
October 24th 2024On this episode of Managed Care Cast, we're talking with the author of a study published in the October 2024 issue of The American Journal of Managed Care® that explored prior authorization decisions in cancer care by race and ethnicity for commercially insured patients.
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Frameworks for Advancing Health Equity: Community Wellness Centers
September 27th 2024Delia Orosco, MS, director of Community Wellness Centers at Inland Empire Health Plan, shares insight into innovative initiatives provided by the wellness centers and their new mobile mammogram clinics.
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