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Medicare Pay: Budget Sequester Adds to Annual Payment Rate Woes
Much like the Medicare sustainable growth rate formula, the budget sequester that also threatens the program in 2013 is cryptically named and arbitrary in nature.
The sequester, a governmentwide spending reduction plan for the next decade, is not based on health policy, analysts say. Lower funding won’t offer health professionals incentives to improve patient care, and it won’t discourage fraud. The metaphor that critics of the plan often cite is the budgeting mechanism functioning not as a surgical scalpel, but as a meat ax or a buzz saw — eviscerating federal agency budgets over a period of nine years. Though Medicaid and Social Security are exempt from the reckoning, all other areas of the government will share in the budgetary pain.
Read the full story: http://tinyurl.com/bvrtvxg
Source: amednews.com
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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Commonwealth Fund Report Details Pervasive Racial and Ethnic Disparities in US Health Care, Outcomes
April 18th 2024Using 25 health system performance indicators, the Commonwealth Fund 2024 State Health Disparities Report evaluated racial and ethnic disparities in health care and health outcomes both within and across US states and highlighted the urgent need for equitable health care policies and practices in the US.
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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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