The final rule aims to boost transparency of drug costs in Medicare Part D, but doesn't include a proposal to pass on price concessions negotiated by the pharmacy to patients.
A new bipartisan U.S. House of Representatives bill would block the CMS rule that levels pay for some outpatient treatments.
Private employer-sponsored health plans paid hospitals 241% of Medicare prices, on average, for the same services at the same hospitals in 2017, according to a RAND Health study of prices across 25 states.
The Minnetonka, Minn.-based insurer is the latest national payer to launch a bundled-payment model for maternity care.
Hospitals and other opponents warn that Medicaid block grants would cut enrollment, benefits and payment rates.
The CMS Innovation Center's proposed geographic pay model could start fixing costs within Medicare, and experts are hopeful as they await details.
Top HHS officials unveiled sweeping new primary-care pay models to move traditional Medicare reimbursement away from fee for service.
The CMS proposal also includes implementing a new quality-based payment program.
The CMS' proposed rule would give inpatient rehabilitation facilities a 2.3% raise compared with 2019, with small boosts for urban and rural hospitals as well.
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