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Reimbursement News

News
By Jordan Rau, Kaiser Health News  The federal government has penalized 774 hospitals for having the highest rates of patient infections or other potentially avoidable medical complications. Those hospitals, which include some of the nation’s marquee medical centers, will lose 1% of their Medicare…
News
According to data from a recent study, Medicare reimbursement—when adjusted for inflation—has decreased for physicians over the last 20 years for the most common arthroscopic procedures. M Lane Moore, BS, Mayo Clinic, Alix School of Medicine, Scottsdale, AZ, and colleagues, conducted an analysis…
News
Recent data shows that there is an association between bundled payment model participation and use of health information exchange (HIE), according to a study published in the International Journal of Medical Informatics. In the study, researchers examined the association between hospitals…
News
Differing reimbursement statutes and regulations between states results in significant variability in compensated services and reimbursement, according to recently published data in the Journal of the American Pharmacists Association. In an effort to better understand these differences and…
News
According to a recent study published in Annals of Emergency Medicine, reimbursement for common emergency medicine services decreased for physicians in the last 20 years. Jordan R Pollock, BS, Mayo Clinic Alix School of Medicine, Scottsdale, Mayo Clinic, AZ, and colleagues, examined the change in…
News
As maintaining the decline in COVID-19 cases remains a priority, the Centers for Medicare. & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) have announced that physicians and health care providers who counsel patients on the importance of self-isolation, are…
News
A recent study published in the American Journal of Managed Care compared the payer benefits of using cost-effectiveness estimates to help inform step therapy policy decisions for diabetes patients. The researchers conducted a cost-effectiveness analysis—which they note is useful to a health plan…
News
The Community Oncology Alliance (COA) has filed a lawsuit against the Trump Administration to stop a 2% cut to Medicare Part B reimbursements for cancer drugs, according to a court filing. “We are filing this lawsuit on behalf of the millions of Americans who face cancer and should be able to get…
News
By Divya Grover (Reuters) - A federal agency on Friday rolled out deep cuts to reimbursement rates for some lab tests under Medicare, a move that could save the government as much as $3 billion over five years, but hurt margins of U.S. laboratory companies. The cuts, which are expected to save…
Conferences
The American Medical Association (AMA) is asking the Centers for Medicare & Medicaid Services (CMS) to drop a proposal to change how Medicare reimburses medications under Part B. If CMS fails to act, the association resolved to lobby Congress to take action to block the proposed change from…
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