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Posts tagged "Medicare"

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Tag: Medicare

Upset Corporate or Government Whistleblower
January 28, 2025
Compliance
0 Comments

How Medicare Whistleblower Attorneys Expose Fraud In Healthcare

Fraud in the healthcare system poses significant challenges, particularly in programs like Medicare and Medicaid. With billions of dollars allocated annually to these essential ...
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How big is the 2025 Medicare rate cut for physicians? – Healthcare Economist
January 9, 2025
CMS
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How big is the 2025 Medicare rate cut for physicians? – Healthcare Economist

At the end of last year, CMS finalized a rate cut for Medicare reimbursement to physicians. The CMS Fact ...
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What are the potential productivity impacts of new medications that treat Medicare beneficiaries? – Healthcare Economist
August 22, 2024
Economics - General
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What are the potential productivity impacts of new medications that treat Medicare beneficiaries? – Healthcare Economist

One key aspect of many medications is that they not only help people feel better, but often these medications ...
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Medicare Drug Price Negotiation leads to 38% to 79% price decrease – Healthcare Economist
August 15, 2024
Current Events
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Medicare Drug Price Negotiation leads to 38% to 79% price decrease – Healthcare Economist

Medicare drug price negotiation is here. The maximum fair prices (MFP) set by Medicare lead to discounts between 38% and 79%. In fact, the ...
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Recent Medicare attempts to lower drug prices (beyond IRA) – Healthcare Economist
May 29, 2024
CMMI
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Recent Medicare attempts to lower drug prices (beyond IRA) – Healthcare Economist

Recently, the Inflation Reduction Act (IRA) is getting a lot of attention, particularly for its provision that allows CMS to start drug price negotiation ...
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Risk Adjustment and Incentives for Upcoding in Medicare – Healthcare Economist
May 6, 2024
HCC
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Risk Adjustment and Incentives for Upcoding in Medicare – Healthcare Economist

To account for differences in disease burden across a Medicare Advantage (MA) plans patient population, uses risk adjustment based on patient disease burden. Specifically, ...
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