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'This Is Almost Biblical in Its Impact': Providers Push Back Against CMS' New Proposed Rules - Vimarsana News

'This Is Almost Biblical in Its Impact': Providers Push Back Against CMS' New Proposed Rules

CMS recently revealed its proposals to raise reimbursement rates for hospital outpatient departments and cut payments for physicians. Next year, the agency is planning to decrease physicians’ pay by 1.25% and increase outpatient payment rates by 2.8%. Provider groups are unhappy with the news — AMA President Dr. Jesse Ehrenfeld said the new physician fee schedule will be “almost biblical in its impact.”

New Medicare Rule Streamlines Prior Auth in MA Plans - Vimarsana News

New Medicare Rule Streamlines Prior Auth in MA Plans

CMS seeks to ensure people in Advantage plans have the same access to necessary care as those in traditional Medicare. The agency also cracked down on Medicare Advantage marketing for "sowing confusion."

CMS Cracks Down on Medicare Advantage Marketing, Prior Auth Practices - Vimarsana News

CMS Cracks Down on Medicare Advantage Marketing, Prior Auth Practices

Agency wants to stop schemes that mislead beneficiaries and prohibit unfair denials of care

UnitedHealthcare cuts back prior authorization requirements - Vimarsana News

UnitedHealthcare cuts back prior authorization requirements

Healthcare

Physicians Deserve Inflation-Tied Medicare Pay Bump: MedPAC - Vimarsana News

Physicians Deserve Inflation-Tied Medicare Pay Bump: MedPAC

Federal advisers recommended a 1.45% increase in a factor used to set Medicare pay, which is now inflation neutral. They also sought extra pay for clinicians who see many patients with low incomes.