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Medicare
CMS Releases Proposed Medicare Physician Fee Schedule Payment Rule for CY…
On July 13, 2021, the Centers for Medicare and Medicaid Services (CMS) released an advance copy of the calendar year (CY) 2022…
MedPAC Calls for MA Program Changes
In its June 2021 annual report to Congress, the Medicare Payment Advisory Commission (MedPAC) called for an update to the Medicare…
MA Beneficiaries Spend Less than Fee-for-Service Medicare Beneficiaries
A recent study conducted by UnitedHealth Group found that Medicare Advantage (MA) beneficiaries spend 40% less annually than…
Majority of Medical Groups Report Prior Authorization Requirement Increase
Earlier this year, the Medical Group Management Association (MGMA) reported that 81% of medical groups experienced an increase in…
CMS Proposes Ending Plan for Transparency of Certain Medicare Advantage…
CMS is proposing to abandon a plan to require hospitals to disclose certain negotiated rates it reaches with Medicare Advantage…
CMS Announces Changes to Part D Payment Modernization Model
The Biden administration has walked back a last-minute bid by its predecessor to give Medicare Part D plans the ability to…
AMA Report Finds Medicare Spending Altered by COVID-19
The American Medical Association (AMA) recently published a report, “Changes in Medicare Physician Spending During the COVID-19…
CMS Penalizes 774 Hospitals for High Patient Infection Rates
In early 2021, the Centers for Medicare and Medicaid Services (CMS) penalized 774 hospitals for having high rates of patient…
Coalition Calls for Further Extension of Medicare Sequester Moratorium
On February 2, 2021, America’s Physician Groups (APG) joined the coalition of groups calling for the United States Congress to…
Estimated Improper Medicare Payments Down $15 Billion Since 2016
The Centers for Medicare and Medicaid Services (CMS) recently released data that shows the number of improper payments under…