Healthcare spending growth will rise at an annual average of 5.5% over the next decade, slightly faster than in the past few years, due to the aging of the baby boomers and healthcare price growth, the CMS reported Wednesday.
The proposal marks another major milestone for the advanced cancer treatment and could be a windfall for hospitals.
Democrats in Congress have revived the first of a slate of ideas to expand public coverage with a Medicare buy-in at age 50 bill as industry closes ranks in opposition.
While Republican lawmakers insist trimming Medicare and Medicaid is the only way to rein in federal spending, researchers have found the programs have done a better job at controlling spending than private payers.
The proposal led by Rep. Lloyd Doggett (D-Texas) and Sen. Sherrod Brown (D-Ohio) would let the government override patents if manufacturers don't play ball on drug prices for Part D.
Commercial and Medicare Advantage plans pay mental health providers in their networks significantly lower rates than traditional Medicare pays, which likely reduces access for patients.
About one-third of Medicare ACOs have until Feb. 19 to decide if they want to renew their Medicare Shared Savings Program contract in light of changes made to the program. The ACOs say that's not a lot of time to figure out if they should assume more risk.
After HHS proposed eliminating the safe harbor protection for Medicare Part D drug rebates, Secretary Alex Azar suggested commercial plans will also get rid of the rebates in order to align with the market.
The CMS proposed increasing the baseline Medicare Advantage payment rates for 2020 by 1.59%, well below the 3.4% rate hike plans received in 2019.
Hospital and health IT groups say that the CMS and ONC must do more to align reporting requirements to avoid duplication.
The new CMS app What's Covered shows beneficiaries whether Medicare covers a specific item or service and is part of the agency's eMedicare initiative.
The dawning of 2019 brings to Akron, Ohio and Austin, Texas what Columbus, Ohio residents already know well: A unique model of care enabled by global risk contracts for Medicare Advantage patients with regional and national health plans that allows primary care physicians to spend the right amount...