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CY2024 Medicare Advantage Final Rule Implementation Handbook
On April 5, the Centers for Medicare & Medicaid Services (CMS) finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for contract year (CY) 2024. The final rule increases oversight of Medicare Advantage (MA) plans and seeks to better align MA coverage with Traditional Medicare.
CMS FAQs on 2024 Medicare Advantage Rule
In this memo, the CMS provides clarification about how MA plans should comply with the 2024 Medicare Advantage rule.
Infographic: Medicare Significantly Underpays Hospitals for Cost of Patient Care
While Medicare has historically reimbursed hospitals below the cost of providing care to patients, new data shows that Medicare payment levels hit record lows in 2022.
White Paper: Medicare’s LTCH Outlier Policy Needs Reforms to Protect Extremely Ill Beneficiaries
Long-term care hospitals (LTCHs) play an important role for Medicare beneficiaries by caring for complex patients who
require extended hospitalization.
MLK Community Healthcare | California
As a Metropolitan Anchor Hospital (MAH), MLK Community Healthcare cis guided by the belief that all patients – no matter their insurance status – deserve access to high-quality primary and specialty care services.
New Analysis Validates Need to Preserve Restrictions on the Growth of Physician-owned Hospitals
As some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals (POHs) and loosening restrictions on the growth of existing POHs, new data from Dobson | DaVanzo show that POHs report fewer quality measures and perform worse on readmission penalties compared to full-service community hospitals.
Analysis of Selected Medicare Quality Measure Reporting Data by Hospital Ownership
Dobson | DaVanzo recently examined Medicare claims data comparing demographic and clinical characteristics of facilities and patients receiving care at physician-owned hospitals (POHs) and all other acute care hospitals (non-POHs). That report showed that relative to POHs, non-POHs care for older, more medically complex patients who are on average burdened with multiple co-morbid conditions, while also operating on lower margins and providing more uncompensated and unreimbursed care.
Site-neutral Payment Policies Threaten Access to Hospital-level Care Infographic
Americans depend on hospitals providing 24/7 access to care. Hospitals serve all patients, regardless of ability to pay. Hospitals serve as a safety net for vulnerable populations. Hospitals must have the resources to respond to local disasters. Medicare fails to pay its fair share of these costs. Medicare reimburses hospitals only 84 cents for every dollar hospitals spend providing care to Medicare beneficiaries.
Drugs with Adjusted Coinsurance Amounts for the Quarter April 1-June 30, 2023
The Centers for Medicare and Medicaid Services (CMS) March 15 announced 27 prescription drugs for which it will lower Part B beneficiary coinsurance, beginning April 1 through June 30, 2023, as required by the Inflation Reduction Act (IRA). This is a table of those drugs.