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COA Commends CMS on 2019 OPPS Proposed Rule
The Community Oncology Alliance (COA) announced their support of CMS’ 2019 Outpatient Prospective Payment System (OPPS) Proposed Rule.
The Community Oncology Alliance (COA) announced their support of CMS’ 2019 Outpatient Prospective Payment System Proposed Rule.
The rule proposes implementing site-neutral payments for off-campus provider-based departments, matching payment rates in the 2019 Medicare Physician-Fee Schedule Proposed Rule. CMS estimates that the site-neutral payment proposal would save Medicare recipients close to $150 million in lower copayments for clinic visits.
The proposed rule also extends last year’s 340B Drug Payment program reimbursement adjustment for hospitals to certain off-campus provider-based departments.
COA’s responded to the proposed rule by commending CMS for taking these steps to reform “important long-standing flaws in our nation’s health policy.”
Research Shows Prior Authorization Denials Delay Critical Immunology Care
May 10th 2024Results featured at the Academy of Managed Care Pharmacy 2024 annual meeting revealed a pattern of prior authorization rejections that could delay necessary therapeutic treatments for various patient groups.
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Frameworks for Advancing Health Equity: Urban Health Outreach
May 9th 2024In the series debut episode of "Frameworks for Advancing Health Equity," Mary Sligh, CRNP, and Chelsea Chappars, of Allegheny Health Network, explain how the Urban Health Outreach program aims to improve health equity for individuals experiencing homelessness.
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CMS Medicare Final Rule: Advancing Benefits, Competition, and Consumer Protection
May 7th 2024On this episode of Managed Care Cast, we're talking with Karen Iapoce, senior director of government products and programs at ZeOmega, about the recent CMS final rule on Medicare Part D and Medicare Advantage.
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