Page 131 - மையங்கள் க்கு மருத்துவ உதவி சேவைகள் News Today : Breaking News, Live Updates & Top Stories | Vimarsana
North Kansas City Hospital names Kujath as new medical staff president - Kansas City Business Journal
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90% of newly infected people over the age of 50 are fully vaccinated Hebrew University, 60% of the patients in serious conditions have been vaccinated , CDC vastly understating vaccination deaths
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PrEP, the HIV prevention pill, must now be totally free under almost all insurance plans Benjamin Ryan © BSIP Image: Truvada. (BSIP / Universal Images Group via Getty)
In a move that is expected to prove transformative to the national HIV-prevention effort, the federal government has announced that almost all health insurers must cover the HIV prevention pill, known as PrEP, or pre-exposure prophylaxis, with no cost sharing including for the drug itself and, crucially, for clinic visits and lab tests.
This means the entire experience of maintaining a prescription to Truvada or Descovy, the two approved forms of PrEP, should now be totally free for almost all insured individuals. A prescribing physician, however, must persuade an insurer that Descovy in particular is medically necessary for any specific patient to qualify for zero cost sharing for that drug’s use as HIV prevention.
Photo: Cecilie Arcurs/Getty Images
Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting.
In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later.
ASTRO Responds to Troubling Medicare Cuts, Radiation Oncology Model Update
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