Sep 20, 2022 | Legislation/ Budgets/ Macro, Medicare
Surprise Billing Final Rule Released: No Surprises Act final rule was revised after litigation providing a modest improvement for providers, total impact of federal regulation of certain out-of-network billing remains a net negative for certain physician specialties. Click to read more.
Sep 16, 2022 | Managed Care Friday
$43.9b: The amount spent on outpatient drugs through the 340B program in 2021, according to a new government breakdown of spending. Disproportionate share hospitals are the largest purchaser of 340B drugs by far, followed by children’s hospitals, rural referral centers, and Ryan White programs. The difference between list prices for drugs and discounted 340B purchases grew to $49.7b, per Drug Channels. Mind Games: A collaboration between Highmark Wholecare, the health plan’s Medicaid and Medicare division, and Posit Science aims to utilize brain training software to prevent falls. By...
Sep 13, 2022 | Medicare, Physician Fee Schedule
Rheumatology: Recent developments in rheumatology includes mixed Medicare FFS reimbursement trends and fluctuating Medicare spending. Click to read more.
