Several changes in Medicare health and drug plans are scheduled to take effect next year. The Part D coverage gap, known as the doughnut hole, is closing in 2020, but people with high drug costs face ...
On August 25, the Centers for Medicare and Medicaid Services (CMS) released performance results for the eighth performance year (2020) of the Medicare Shared Savings Program (MSSP). The results for ...
Medicare's largest alternative payment model produced its highest annual savings to date in 2020, as shown by performance data released this week by the Centers for Medicare and Medicaid Services. The ...
This week four years ago, I was working for the Centers for Medicare and Medicaid Services, helping lead the national Medicaid program. The Affordable Care Act was hitting its stride. The number of ...
Medicare’s Skilled Nursing Facility Value-Based Purchasing Program, which awards value-based incentive payments based on hospital readmissions, distributed its first two rounds of incentives during ...
New Technology Add-On Payments (NTAP) are a class of reimbursement that are meant to help pay for new technology that is not included in the diagnosis-related group (DRG) bundled payment. Specifically ...
Insurers gave out approximately $2 billion in rebates for 2020 to nearly 10 million consumers under the Affordable Care Act’s (ACA's) medical loss ratio provision. The Centers for Medicare & Medicaid ...
An HHS report said that if the Inflation Reduction Act (IRA) had been implemented in 2020, Medicare Part D beneficiaries could have saved a total of $734 million, averaging out to about $500 per ...
On January 16, the Centers for Medicare & Medicaid Services (CMS) & the U.S. Department of Health and Human Services (HHS) withdrew an appeal to a recent copay accumulator court decision, HIV and ...