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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.
Read the full story here: http://bit.ly/1g5lqoA
Source: Healthcare Payer News
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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