CMS estimates that the implementation of its new and revised requirements will cost providers upwards of $55,000 per year, a prediction that is weighing on providers.
CLEVELAND - In recent years, doctors nationwide have lamented ever-rising drug prices that are limiting patient access to crucial medicines and undermining hospital finances. But a ballot initiative in Ohio is flipping that script.
A knee replacement at Medstar Harbor Hospital will cost a patient $37,225 on average, while the same procedure at University of Maryland Shore Medical System at Easton costs $22,687.
Auditors found that CMS made 1.8 million adjustments to Medicare capitation payments over a three-year period and recouped nearly $3 billion that had been paid on behalf of dead people.
With the future of ACA subsidies unclear, Covered California decided to tack a 12.4 percent surcharge on certain health plans in 2018, with taxpayers expected to cover most of the added cost.
President Trump has derided pharmaceutical companies as “getting away with murder,” but there’s been little action in Washington to rein in the costs of prescription drugs. Some states are taking matters into their own hands.
Drug companies will be required to give health insurers and state agencies advance notice if they plan to raise the price of certain drugs by 16 percent or more over two years.
