The number of psychiatrists submitting more than 10 claims to Medicare Part B decreased by 16.8% from 2014 to 2022.
A provision about insulin in the Inflation Reduction Act is conflated with a 2022 executive order by former President Joe ...
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.
Medicare beneficiaries often pay monthly premiums, copays, annual deductibles and prescription drug costs. But what you may ...
Providers are sympathetic to Medicare enrollees’ concerns but don’t agree on their role in helping patients find less costly ...
Biden-era policies rescinded by Donald Trump could signal a significant shake-up in Medicare and Medicaid drug price reforms.
Ozempic and Wegovy, the blockbuster but costly GLP-1 drugs often used for weight loss, are among the 15 medications that will be subject to the next round of Medicare price negotiations, the Biden ...
Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.
In 2022, the Medicare Part B standard premium will increase from $148.50 to $170.10. This $21.60 increase (14.5%) is the largest since the Medicare program began in 1965 and much higher than was ...
Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services.
Among the first 10 drugs selected for price negotiations under the 2022 Inflation Reduction Act, cardiometabolic medications ...
The new Department of Government Efficiency can't go after Medicare or Social Security. That leaves Medicaid in a vulnerable ...
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