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Lawmakers Nearing SGR Deal
Although a deal is not yet final, aides say the general framework is likely to include a 10-month straight extension of the current Medicare payment rate to physicians. The agreement is also likely to extend certain Medicare programs, but on the condition that there be greater reporting and accountability of those programs from the CMS, the Medicare Payment Advisory Commission and the Government Accountability Office.
Source: Modern Healthcare
Federal lawmakers on Tuesday evening inched closer to an agreement on a short-term solution to Medicare's sustainable growth-rate formula for physicians. If Congress does not act by Feb. 29, doctors who participate in the federal healthcare program will face a 27.4% cut in their Medicare reimbursement.
Prices for care at hospital trauma centers vary across hospitals; drug shortages reached a record high during the first quarter of 2024; although 3 of the biggest makers of asthma inhalers pledged to cap out-of-pocket costs for some US patients at $35, these do not apply to daily inhalers used by the youngest kids with asthma.
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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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The Biden administration recently launched the Global Health Security Strategy, a new effort to combat the spread of infectious diseases; lawmakers zeroed in on the risks of massive consolidation in health care during the first congressional hearing on the Change Healthcare hack; the FDA recently announced the recall of a pair of heart devices linked to numerous deaths and injuries.
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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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