by Jordana Choucair | Apr 12, 2022 | Payers
The Centers for Medicare & Medicaid Services (CMS) released its SNF Prospective Payment System proposed rule for fiscal year 2023, recommending a 3.9 percent, or $1.4 billion, payment increase to the industry. The agency arrived at that number by raising the...
by Jordana Choucair | Apr 12, 2022 | Payers
Insurtech startup Sidecar Health unveiled a new group plan for fully insured employers in Ohio with at least 51 workers. The new offering includes health savings account-compatible plan options. Sidecar says the plan could drive savings of 40 percent on average...
by Jordana Choucair | Apr 11, 2022 | Payers
A recent study from Humana highlights how seniors faced common challenges related to social determinants of health (SDOH) and inequities before the onset of the COVID-19 pandemic. The study found that 49.3 of the more than 100,000 Medicare Advantage (MA) members...
by Jordana Choucair | Apr 8, 2022 | Payers
Medicare will cover the Alzheimer’s drug Aduhelm only for clinical trials, despite the Food and Drug Administration (FDA) approving the drug for some 1.5 million people. Centers for Medicare & Medicaid Services (CMS) Administrator Chiquita Brooks-LaSure said the...
by Jordana Choucair | Apr 6, 2022 | Payers
A recent Kaiser Family Foundation (KFF) poll revealed that most Americans remain concerned about out-of-pocket costs and the quality of long-term care. According to the poll, 61 percent of the public, regardless of partisanship, wants lawmakers to limit how much drug...
by Jordana Choucair | Apr 5, 2022 | Payers
A recent RAND Corporation study found that regional health care markets across the country have experienced significant divergence in commercial-to-Medicare price ratios between 2012 and 2019, causing insurers to pay vastly different rates to hospital systems....
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