Website Search Results for: medicare part d
108 webpages matched your search. Here are matches 51 - 60:
Date: Jul 12, 2023
Rural community pharmacies are often vital sources for prescriptions, vaccinations, patient education, and other healthcare needs, but the RUPRI Center for Rural Health Policy Analysis reported a decrease in the number of rural pharmacies from 2003 to 2021. A pharmacy chain in the Midwest, a pharmacy-based research network in the South, and an Illinois school of pharmacy discuss the rewards and challenges of operating in rural areas. - The Rural Monitor
...Medicare Part D coupled with the increasing influence of pharmacy benefit managers (PBMs) have negatively...
Date: Jun 2025
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers proposed reforms to the physician fee schedule updates and the accuracy of relative payment rates; supplemental benefits in Medicare Advantage; home healthcare use among Medicare Advantage enrollees; Part D prescription drug plans for beneficiaries in fee-for-service Medicare and Medicare Advantage; Medicare beneficiaries in nursing homes; the inclusion of rural providers in current Medicare fee-for-service quality reporting programs; and recommendations related to reducing beneficiary cost sharing for outpatient services at Critical Access Hospitals. Includes rural references throughout.
...Medicare Advantage enrollees; Part D prescription drug plans for beneficiaries in fee-for-service Medicare...
Reviewed: Oct 1, 2025
Resources and information on how rural healthcare providers are reimbursed by different payers and payment systems and the impact of payment policies on rural healthcare.
...D, is available to everyone with Medicare but requires a monthly premium. Medicare Advantage: Private plans approved by the Centers for Medicare & Medicaid Services (CMS) to cover participants' Medicare Part...
Date: Jun 2006
Examines issues affecting the Medicare program and makes recommendations to the Congress. Topics covered include care coordination, pricing accuracy in the hospice and physician payment systems, quality measures in home health, gathering data on outpatient therapy, Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis.
...Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis. 06/2006 Medicare Payment...
Date: Dec 23, 2025
Notice from the Centers for Medicare & Medicaid Services (CMS) seeking comments on a proposed rule implementing the Guarding U.S. Medicare Against Rising Drug Costs (GUARD) Model to test a new Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D drugs and biological products. The proposed GUARD Model would test whether changing the calculation of the Part D inflation rebate would reduce costs for the Medicare program while preserving or enhancing quality of care for Part D enrollees. Comments are due by February 23, 2026. Source: Federal Register.
...Medicare payment model under section 1115A of the Social Security Act. The model proposes a test of an alternative payment method for calculating inflation rebates for certain Part D...
Date: Dec 22, 2025
Notice from the Centers for Medicare & Medicaid Services (CMS) is seeking comments on the following information collections: 1) CMS Plan Benefit Package (PBP) and Formulary CY 2027; and 2) Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring Project (TMP) Protocols. Comments are due by February 20, 2026. Source: Federal Register.
...Medicare Part C and Part D Program Audit and Industry-Wide Part C Timeliness Monitoring...
Date: Sep 3, 2024
The September 2024 episode of RHIhub's podcast features an interview with Krista Postai, CEO of Community Health Center of Southeast Kansas (CHC/SEK), and Jason Wesco, CHC/SEK's President and Chief Strategy Officer. We learn about how CHC/SEK developed a single Federally Qualified Health Center into an organization serving 18 locations.
...Medicare [Part] D but find themselves in the donut hole , but doesn't seem to go away...
Date: Apr 2022
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
...Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug...
Date: Jun 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
...Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D...
Date: Sep 2021
Shares Medicare Advantage (MA) plan performance data for specific healthcare quality measures reported in 2019, which represents care received in 2018. Analyzes and compares the quality of clinical care for dual-eligible (DE) beneficiaries, those who qualify for both Medicare and Medicaid, and Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality of care for beneficiaries who do not qualify as DE nor LIS by racial/ethnic groups and rural status.
...Medicare beneficiaries who are eligible for a Part D low-income subsidy (LIS) with the quality...