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27 Apr 2024, 1:00 am
You really can't blame Big Pharma for hating the new federal law that authorizes the Medicare program (for the first time in its 59-year existence) to stop buying drugs for the manufacturer's price but instead to negotiate for a reasonable price (the way the VA, state Medicaid agencies, the Defense Department, and most other countries do).Medicare has been a predictably incredible cash cow for [read post]
25 Apr 2024, 11:19 pm
The hospital is set to be removed from the Medicare program by April 30 after the Center for Medicare and Medicaid Services determined it was out of compliance with nine requirements. [read post]
25 Apr 2024, 9:30 pm
The Centers for Medicare and Medicaid Services (CMS) announced a final rule that creates minimum nurse staffing requirements for long-term care (LTC) facilities that receive Medicare and Medicaid funding. [read post]
25 Apr 2024, 4:49 am
” EMTALA sets conditions for hospitals to receive Medicare funds and mandates that hospitals have to “stabilize” patients with emergency conditions in hospitals. [read post]
Supreme Court Hears Arguments on Whether Federal Emergency Treatment Law Preempts State Abortion Ban
24 Apr 2024, 9:20 pm
The case poses the question of whether the federal Emergency Medical Treatment and Labor Act that requires hospitals accepting Medicare to provide stabilizing emergency treatment to patients preempts state abortion bans when such treatment would involve pregnancy termination. [read post]
24 Apr 2024, 12:45 pm
ShareThe Supreme Court on Wednesday was divided over whether a federal law requiring hospitals that participate in Medicare to provide “necessary stabilizing treatment” in an emergency overrides an Idaho law that bars most abortions. [read post]
24 Apr 2024, 9:06 am
Sanders has introduced the Medicare for All Act which would create an Office of Health Equity that is focused on better tracking, addressing, and preventing health disparities. [read post]
24 Apr 2024, 4:52 am
Calculation of Medicare Drug Average Sales Price Medicare pays for some separately payable Medicare Part B-covered drugs and biologics using the average sales price (ASP) methodology. [read post]
24 Apr 2024, 1:52 am
Nearly all hospitals accept Medicare. [read post]
23 Apr 2024, 9:05 pm
Failure to comply with EMTALA can lead to patient lawsuits for damages, civil monetary penalties of up to nearly $130,000 per violation, and a medical facility’s potential exclusion from participation in Medicare. [read post]
23 Apr 2024, 1:32 pm
This is particularly true given the stakes of the Biden administration’s interpretation: Medicare spending in Idaho, where one in five residents is enrolled in the program, was $3.4 billion in the two-year period between 2018 and 2020, while annual Medicare spending in 2022 was nearly a trillion dollars. [read post]
HHS Inspector General Reiterates Commitment to Combating Healthcare Fraud, Highlights Areas of Focus
23 Apr 2024, 11:57 am
” Durable Medical Equipment (DME) Fraud: DME fraud “persisted in traditional Medicare for decades and is growing in Medicare managed care. [read post]
23 Apr 2024, 11:05 am
Making good on its promises to enhance oversight of Medicare Advantage (MA) and Medicare Part D plans, the Centers for Medicare and Medicaid Services (CMS) has submitted for public inspection its Contract Year 2025 Final Rule. [read post]
23 Apr 2024, 7:24 am
For those who do not qualify financially for Medicaid, Medicare will likely be the health insurance available at the age of 65. [read post]
22 Apr 2024, 5:00 pm
Become familiar with the regulations, instructions, and other RxDC resources on the Centers for Medicare and Medicaid Services website. [read post]
22 Apr 2024, 4:49 pm
Insurance - plan for Medicare and supplemental insurance.Savings - determine whether you need to increase savings (or work longer).ArticlesAdvancing CareersInsuring HealthcareMentoring LawyersPlanning RetirementWorking After RetirementBooksFinding Your Landing ZoneGetting the Most Out of RetirementLife After LawPlanning AheadSecond ActsWebsitesCareer Center (ABA)End of Career Resources (ABA)Retirement Learning Center (ABA)Retirement Planning (AARP) [read post]
22 Apr 2024, 12:55 pm
The $172 million settlement resolved allegations that the Medicare Advantage organization submitted and failed to withdraw inaccurate diagnoses codes to increase its per-patient remuneration from Medicare. [read post]
22 Apr 2024, 7:00 am
Form 941 is used by employers to report income taxes, social security tax, or Medicare tax withheld from employees’ paychecks. [read post]
22 Apr 2024, 1:35 am
However, the Self-Employment Contribution Act (SECA) requires self-employed individuals to pay federal taxes of 15.3% (12.4% for Social Security, 2.9% for Medicare), sometimes called self-employment taxes, or social security taxes. [read post]
21 Apr 2024, 10:53 am
You will also lay out some money for Medicare beyond Part A. [read post]
