CMS Tabling Geographic Direct Contracting Model: What Does It Mean?
Medicare’s existing Geographic Direct Contracting model has been controversial legislation for years. This regulation intends to test the feasibility of basing pricing models on regional trends. The Centers for Medicare…
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CMS Pressure to Cover Diabetes Prevention Program
The Centers for Medicare and Medicaid Services (CMS) may implement long-awaited changes to the Medicare Diabetes Prevention Program (MDPP) initially established by the National Institute of Health in 2018. The…
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Medicare’s Direct Contracting Changes to Help Expand Primary Care Provider Networks
In the case of health care services for subscribers, more options is usually not a bad thing unless providers are sacrificing quality care. Medicare’s most recent initiative, put into place…
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Continually Shrinking Profits for Health Care Providers Throughout the Pandemic
Despite ever-growing hospitalization rates associated with COVID, health care providers and institutions are struggling to profit in today’s economy. Many hospitals and nursing facilities are seeing an influx of inpatient…
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The No Surprises Act: What Does it Mean for Insurers?
Due to legislation passed on December 22, 2020 as part of the COVID relief plan, patients who receive emergency medical services will have peace-of-mind due to fewer unexpected health care…
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California Expanding Their Mental Health Parity Act
Starting in January 2021, California residents with substance use disorders and mental health concerns will now have greater access to coverage. The amendment to SB-855 expands on legislation from September…
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