On Nov. 1, the Centers for Medicare & Medicaid Services (CMS) issued the 2023 Medicare Physician Fee Schedule Final Rule. The rules finalized last week would reduce Medicare physician payments by an average of 4.5%.
Physician groups strongly criticized CMS and urged Congress to act before the end of the year to reverse the cuts. Congress is likely to return during the week of Nov. 11 for a lame duck session after the midterm elections and many expect increased Medicare physician payments to be included in a funding bill that must be enacted before mid-December to keep the federal government open.
On Oct. 27, the highly respected Bipartisan Policy Center (BPC) issued recommendations to improve employer-sponsored health insurance. Almost 160 million Americans receive health benefits through their employer. “While there have been changes to the health care system since the Affordable Care Act in 2010, more must be done to help contain health care costs,” BPC’s press release states. “Policymakers have an opportunity to improve employer-sponsored insurance so employers can offer more affordable, comprehensive coverage to their employees.”
The report’s recommendations address the following four areas:
On Nov. 3, New York State Attorney General Letitia (Tish) James announced a settlement in which Teva Pharmaceuticals will pay the state up to $523 million after a jury convicted the company of helping to cause the opioid crisis. “Teva knowingly and intentionally misled New Yorkers and the American people about the deadly dangers of opioids, and last year, a jury found them responsible for the devastation and destruction they have caused,” James wrote. “This is a landmark day in our battle against the opioid crisis, and I am proud to be able to deliver critical funding and resources to the communities Teva and other companies ravaged with their rampant misconduct.”
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Final Reminders For AEP | Medicare Supplement Update
It was recently discovered that Humana’s Rx Calculator and Humana.com were incorrectly quoting the $0 Rx Copay Benefit Model incorrectly for DSNP plans.
Your Wellcare NY Sales team wanted to remind you of an increase to the payment amounts for our Health Risk Assessment's (HRA's) and inform you of two important NY network additions.
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