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CMS to Phase in Controversial Payment Cut to Dialysis Providers
In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.
In what is likely to be a relief to dialysis providers, the CMS decided to phase in the controversial payment cut to dialysis providers over a three- to four-year period.
Moreover, overall payments for 2014 will remain the same, according to the final rule issued Friday (PDF).
A tax bill passed in January calls for the rebasing of dialysis rates to better reflect decreased utilization of expensive anemia drugs that have been linked to safety concerns. But the industry has lobbied heavily against the cut, arguing that the drugs themselves have become more expensive and more drugs are being added to the bundled payment.
The final rule also authorized a 50% increase to the home dialysis training add-on payment and strengthened the Quality Incentive Program, which penalizes providers who don't meet certain performance standards.
Read the full story here: http://bit.ly/19W8WIi
Source: Modern Healthcare
Navigating Health Policy in an Election Year: Insights From Dr Dennis Scanlon
April 2nd 2024On this episode of Managed Care Cast, we're talking with Dennis Scanlon, PhD, the editor in chief of The American Journal of Accountable Care®, about prior authorization, price transparency, the impact of health policy on the upcoming election, and more.
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The Federal Trade Commission's (FTC's) vote to ban most employers from issuing and enforcing noncompete clauses could have varying impacts on the health care workforce; federal regulators vastly under-enforced antitrust laws in the hospital sector during the last 2 decades, resulting in increased health costs; the FDA recently found genetic evidence of the H5N1 bird flu virus in pasteurized commercially purchased milk.
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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.
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What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
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