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Private Equity and Digital Health in 2023 New Trends

2023 Consolidated Appropriations Act extends various flexibilities including Medicare beneficiaries can continue to receive telehealth services from any geographic location; Federally Qualified Health Centers and Rural Health Clinics continue to provide telehealth services.
Jackson Women Health Organization Health Centers Department Of Justice Human Services Office Of Inspector Drug Enforcement Agency

Current prior authorization practices are adding to burnout, surgeon general says

The Centers for Medicare and Medicaid Services outlined changes that will be made to speed up and align the prior authorization process across all payers, during a press call on Tuesday. CMS released the proposed rule on expanding access to health information and improving the prior authorization process on December 6. One reason for implementing the changes is physician and
Alex Wong Getty Vivek Murthy Centers For Medicare Health Plan Children Health Insurance Program Medicaid Services

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Proposed rule strengthens equity and behavioral health in Medicare Advantage program

For the first time, the Center for Medicare and Medicaid Services is proposing to establish a health equity index in the Medicare Advantage and Part D Star Ratings program that would reward excellent care for underserved populations. The proposed rule would also update the Medicare Part D medication therapy management program to require that plans include all 10 core chronic
Justin Paget Getty Behavioral Health Strategy Medicaid Services Medicare Advantage Partd Star Ratings Inflation Reduction Act

HHS Proposes Rule to Strengthen Beneficiary Protections, Improve Access to Behavioral Health Care, and Promote Equity for Millions of Americans with Medicare Advantage and Medicare Part D

Proposed rule also implements provision of President Bidenโ€™s Inflation Reduction Act to lower prescription drug costs for low-income people with Medicare.
United States Xavier Becerra Meena Seshamani Centers For Medicare Medicaid Services Human Services Us Department Of Health

CMS releases Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule

In a newly proposed rule, the Centers for Medicare and Medicaid Services is changing prior authorization standards to speed up the time it takes for payers to approve the requests and is implementing HL7 FHIR standards to support an electronic process. CMS is proposing to require certain payers, including Medicare Advantage organizations, to implement electronic prior
United States Matt Eyles Ashley Thompson Tochi Iroku Malize Erik Isakson Getty Mary Beth Donahue

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