- Center on Health Equity and Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Pay and Practice: Budget Deal Muddles SGR Fix
As the dust settled following yesterday's last-minute budget deal to avert a federal government's default, a frightening fact emerged for the nation's doctors.
As the dust settled following yesterday's last-minute budget deal to avert a federal government's default, a frightening fact emerged for the nation's doctors.
It might be tougher to delay for yet another year the planned cuts physicians face under Medicare's sustainable growth rate (SGR) formula. Physicians face a 24.4% cut for Medicare payments in 2014 unless Congress acts to avert it.
Hear me out.
With the federal government funded till Jan. 15 and no natural bill to attach a one-year SGR patch to, what mechanism is left for Congress to take action?
Of course, Congress could act on a stand-alone bill -- so not all hope is lost for physicians. But the reality is that there is far too much work on an SGR repeal-and-replace bill to finish before the holidays -- despite great optimism that such a bill would see action this year.
Read the full story here: http://bit.ly/1fGdmed
Source: MedPage Today
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.
Read More
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.
Listen
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.
Read More
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
