CMS Proposal Would Modify Medicare Part D
A Centers for Medicare & Medicaid Services (CMS) proposal would remove a number of prescription drug classes from Medicare Part D drug plans, while also limiting the number of plans insurers could offer to seniors.
Telehealth: Next Frontier in Health Policy?
Health policy advisors and advocates are shifting their focus to the possibilities of telehealth, which would allow physicians to treat patients virtually. Health experts suggest that this emerging health frontier could be promising, especially for patients who are immobilized or who live in remote locations.
Chronically Ill Face High Out-of-Pocket Costs
Those with chronic illnesses such as leukemia, hepatitis C, and multiple sclerosis may face a significant increase in their out-of-pocket expenses for specialty drugs. This is because payers are replacing fixed-dollar copayments with coinsurance rates that require patients to contribute a higher percentage of the cost for their specialty medications.
Managing the Long-Term Care of Dual Eligibles
When it comes managing the long-term care of dual eligibles, many health systems are looking toward managed long-term supports and services (MLTSS). Unlike traditional Medicare and Medicaid, MLTSS would expand managed healthcare medical services to include personal support and other assistance.
CMS Proposes Medicare Advantage Rate Reduction
CMS intends to implement a 1.9% rate reduction in payment rates for Medicare Advantage plans in 2015. Some payers fear that number may increase as fees associated with the Affordable Care Act (ACA), as well as other policy changes, also begin to impact physician reimbursement.