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CMS puts forward meager offering for digital health in final Medicare physician fee schedule rule

FierceHealthIT

Days before the 2024 presidential election, the Centers for Medicare & Medicaid Services (CMS) released an unpublished version of the final calendar year 2025 physician fee schedule final rule | Digital therapeutics, telehealth, rural heath clinics and opioid treatment programs all got updates in the final 2025 Medicare physician fee schedule rule, (..)

Medicare 126
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From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T omnibus

FierceHealthIT

From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T Tue, 12/20/2022 - 10:29.

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How the feds should handle rampant insurer upcoding

FierceHealthIT

Enforcement and physician education are two keys to limiting health plan upcoding, a costly scheme that exploits the Medicare system, health policy experts told Fierce Healthcare. Health plan upcoding threatens the Medicare system.

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CBO weighs in on PBM reform, AI in healthcare

FierceHealthIT

The Congressional Budget Office (CBO) addressed a series of questions from lawmakers on health policy priorities ranging from pharmacy benefit management to Medicare spending. |

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What If Costco Designed the Prescription Drugs Sales Model?

Health Populi

Consumers Overpay for Generic Drugs , a new paper from the Leonard Schaeffer Center for Health Policy & Economics asserts, with recommendations to address the intermediaries who benefit from the way Americans currently pay for medicines. health citizens access to high-value and lifesaving meds.

Medicare 385
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Medicare Advantage’s Favorable Selection Problem

Digital Health Wire

Medicare Advantage plans could be on track to reach over $75B in overpayments this year – nearly 3x prior estimates – causing researchers at the USC Schaeffer Center for Health Policy and Economics to issue a pressing call for policy reform. Favorable selection at its finest.

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Billing Medicare and Private Payers for Telehealth Visits: What to Expect Post-Public Health Emergency

Healthcare IT News - Telehealth

Prepare Now for Anticipated Changes to Medicare and Private Payer Rules. The Centers for Medicare and Medicaid Services (CMS) is expected to issue new rules for telehealth in the release 2021 Physician Fee Schedule later this year. Today, Medicare reimburses for specific services when delivered via live video.