CMS Finalizes Payment Rule, Including Update to the Custody Definition

CMS Finalizes Payment Rule, Including Update to the Custody Definition

Medicare payment rules prohibit coverage for a service if a beneficiary is not financially responsible for the care or if another government entity is obligated to provide or pay for the item or service. For years, the Medicare rules interpreting and implementing this...
Health Care Access Improving in Rural Areas, Challenges Persist

Health Care Access Improving in Rural Areas, Challenges Persist

A new report from the U.S. Department of Health and Human Services’ (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) examines trends in health care access and outcomes in rural America. While insurance rates in these areas are improving,...
Millions See Cost Savings Under the Inflation Reduction Act

Millions See Cost Savings Under the Inflation Reduction Act

The Inflation Reduction Act (IRA) made significant improvements to Medicare prescription drug access and affordability, including by restructuring the Part D benefit to limit enrollee expenses. Those changes began in January 2024, when the IRA eliminated cost sharing...