Becky Kirby

SUPREME COURT OVERTURNS MEDICARE RULE THAT SIGNIFICANTLY REDUCED PAYMENTS TO 340B HOSPITALS FOR OUTPATIENT DRUGS

On June 15, 2022, the Supreme Court issued a unanimous ruling in American Hospital Association et al. v. Becerra, overturning Medicare rules that significantly reduced payments to 340B hospitals for outpatient drugs. The specific issue in the case was whether the Department of Health and Human Services had the authority under the Medicare Prescription Drug, …

SUPREME COURT OVERTURNS MEDICARE RULE THAT SIGNIFICANTLY REDUCED PAYMENTS TO 340B HOSPITALS FOR OUTPATIENT DRUGS Read More »

AMA ARTICLE HIGHLIGHTS OIG FINDINGS THAT MEDICARE ADVANTAGE PLANS DELAY AND DENY PATIENTS’ ACCESS TO CARE

In an article entitled How Medicare Advantage plans wrongly deny prior auth requests, the American Medical Association highlights findings from a recent Department of Health and Human Services Office of the Inspector General Report. The OIG Report found that 13% of the sampled prior authorization requests denied by Medicare Advantage plans met Medicare’s clinical coverage …

AMA ARTICLE HIGHLIGHTS OIG FINDINGS THAT MEDICARE ADVANTAGE PLANS DELAY AND DENY PATIENTS’ ACCESS TO CARE Read More »

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