CMS released final rules for both the 2015 Medicare Physician Fee Schedule and the 2015 Hospital Outpatient Prospective Payment System.
CMS has released its final rule on the 2015 Medicare Physician Fee Schedule. The rule, which became available on October 31, 2014, can be viewed at
. It is scheduled to be published in the Federal Register on November 13, 2014.
CMS estimates that in calendar year 2015 the hematology/oncology specialty will face a positive impact of 1%. It is important to note that the actual impact on individual physician practices will depend on the mix of services provided. ASCO will be analyzing the final rule in greater detail and more information will be forthcoming.
CMS also released its final rule for the 2015 Hospital Outpatient Prospective Payment System, which can be viewed at https://www.federalregister.gov/articles/2014/11/10/2014-26146/hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment-systems-and-quality. The rule is scheduled to be published in the Federal Register on November 10, 2014. ASCO will be analyzing this final rule as well and more information will be shared shortly.
Link to the complete release on ASCO's website: http://bit.ly/1wrCHzO
Exploring Medicare Advantage Prior Authorization Variations
March 26th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the March 2024 issue of The American Journal of Managed Care® about their findings on variations in prior authorization use across Medicare Advantage plans.
Listen
The Supreme Court seems likely to reject a challenge to the abortion pill mifepristone; the FDA is inspecting far fewer pharmaceutical companies conducting clinical research; AstraZeneca has sued to block an Arkansas law that it said would unlawfully expand the 340B program to include for profit-pharmacy chains.
Read More
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
Listen
Covered Preventive Services at Risk: V-BID Summit Breaks Down the Braidwood v Becerra Case
March 20th 2024For more than a decade, certain high-value preventive care services have been covered at no cost to patients under the Affordable Care Act, but a current legal challenge has the coverage at risk.
Read More