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Federal Budget Agreement Contains No SGR Adjustment
Congressional leaders and President Barack Obama announced an agreement that will keep the federal government operating through the first quarter of 2013, but the agreement does not include adjusting or repealing the sustainable growth-rate Medicare payment formula—which a new Congressional Budget Office analysis says will require a 27% cut in physician payments next year.
Read the full story: http://tinyurl.com/c7u3x8l
Source: ModernHealthcare.com
Estimates of the SGR-driven Medicare payment cut have gone as high as 30%, and the CBO report analyzes several short-term options with price tags of $15.3 billion to $376.6 billion in additional spending between 2013 and 2022.
CMS' 340B Repayment Proposal May Harm Vulnerable Hospitals, Reward Those With Higher Revenues
April 26th 2024The 340B hospitals not receiving an offsetting lump-sum payment from CMS following 2018-2022 cuts later ruled unlawful are disproportionately rural, publicly owned, and nonacademic, according to a new study.
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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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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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