Blog Archive

CMS Proposes FY 2025 Inpatient Payment Policies for Hospitals and New Mandatory Payment Model (CMS-1808-P)

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On April 10, 2024 the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment Systems (IPPS) for…

CMS Finalizes CY 2025 Policy Changes for Medicare Advantage and Part D Plans Impacting Patient Protections, Utilization Management, and Formularies

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) released its Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription…

CMS Releases Final Rule for 2025 Qualified Health Plans, Aimed at Strengthening Network Adequacy, Patient Access and Protections and Improving Plan Selection and Enrollment

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text]On April 2, 2024, the U.S. Department of Health and Human Services (HHS) and the Centers for Medicare & Medicaid Services (CMS) issued the final Notice…

For 2025, CMS Finalizes Changes Resulting in a 3.7% Increase in Plan Payments and Implements Inflation Reduction Act Provisions on Part D Benefit Redesign

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On April 1, 2024, the Centers for Medicare & Medicaid Services (CMS) released its Announcement of Calendar Year (CY) 2025 Medicare Advantage (MA) Capitation Rates…

The Medicaid DSH Program

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] The Medicaid Disproportionate Share Hospital (DSH) program is an important component of the United States’ broader effort to provide healthcare to its most disadvantaged citizens.…

The Medicare DSH Program

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] The counterpart to Medicaid’s Disproportionate Share Hospital (DSH) program, Medicare’s DSH program was established with the shared objective of providing financial support to hospitals that…

Applied Policy Attends Medtrade

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] Applied Policy was pleased to attend the Medtrade conference from March 26-28 in Dallas, Texas, and to connect with our friends in the industry. The…

CMS Proposes FY 2025 Payment Update and Quality Changes for Inpatient Psychiatric Facilities (CMS-1806-P)

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On March 28, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Inpatient Psychiatric Facility Prospective Payment System (IPF…

MACPAC Releases March 2024 Report to Congress

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] Each March, the Medicaid and CHIP (Children’s Health Insurance Program) Payment and Access Commission (MACPAC) is required to report to Congress on the Medicaid program.…

MedPAC Releases March 2024 Report to Congress

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] Each March, the Medicare Payment Advisory Commission (MedPAC) is required to report to Congress on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA)…

MACPAC Holds March 2024 Meeting

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On March 7 and 8, 2024, the Medicaid and CHIP Payment and Access Commission (MACPAC) held a virtual public meeting, which included the following sessions:…

White House Releases Full Budget Request for Fiscal Year 2025, Proposing to Extend Medicare Trust Fund Solvency, Advance Health Equity, and Expand Access to Care While Lowering Costs

[vc_row full_width=”stretch_row” gap=”35″][vc_column][vc_column_text] On March 11, 2024, the White House released the President’s fiscal year (FY) 2025 budget, which builds upon the priorities included in the Infrastructure Investment…

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