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Medicare Part B change could lead to increased hospitalizations

Medicare Part B change could lead to increased hospitalizations

By Virgil Dickson  |  August 09, 2018

The CMS' move to allow Medicare Advantage plans to require patients to try low-cost generic drugs before more expensive therapies on Part B could lead to poor health outcomes, causing an increase in ED use and inpatient admissions, providers say.

Medicare appeals backlog plummets more than 30% since 2017

Medicare appeals backlog plummets more than 30% since 2017

By Virgil Dickson  |  August 06, 2018

HHS revealed it has made progress reducing its Medicare appeals backlog and won't need to pursue the AHA's suggestions to expedite pending cases. But the agency conceded it won't be able to meet a federal judge's requirement to eliminate the backlog by the end of 2020.

CMS must impose prior authorization for chiropractors, GAO says

CMS must impose prior authorization for chiropractors, GAO says

By Virgil Dickson  |  August 02, 2018

The CMS has not complied with a section of MACRA that requires it to impose prior authorization for chiropractic services, a government watchdog found. Chiropractors have one of the highest rates of improper payments in Medicare.

Hospices getting $340 million Medicare raise for 2019

Hospices getting $340 million Medicare raise for 2019

By Virgil Dickson  |  August 01, 2018

The CMS has finalized plans to give hospices nearly double the raise they received in 2018. The agency will also make it easier to check data on the troubled Hospice Compare website.

Medicare Part D premiums to fall next year

Medicare Part D premiums to fall next year

By Virgil Dickson  |  August 01, 2018

HHS will lower premiums for Medicare prescription drug plans next year, and the agency credited lower drug prices for the change.

MIPS on track to be SGR 2.0 if not fixed, doctors say

MIPS on track to be SGR 2.0 if not fixed, doctors say

By Virgil Dickson  |  July 26, 2018

During a congressional hearing, leaders from key medical societies accused the CMS of attempting to undermine Congress' work to help doctors move to value-based care as part of MACRA.

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