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Health & Wellness

Medicaid Enrollment & CMS 2025 Payment Rules: Healthcare Update

TL/DR - The Centers for Medicare & Medicaid Services (CMS) has proposed its fiscal year 2025 payment rules for inpatient psychiatric facilities, skilled nursing facilities, and hospice providers, streamlining Medicaid enrollment and limiting short-term insurance. The Food and Drug Administration (FDA) is withdrawing approval for AstraZeneca's…

Healthcare Inequities Impact Black, Latinx, Asian in L.A. County

TL/DR - The Los Angeles County Department of Health's 2023 health survey reveals that non-white residents face numerous health-related and living condition disparities. The study found that Black and Latinx residents in the county are more susceptible to health issues related to diabetes and hypertension, with the rate of both conditions having…

Understanding Medicare’s Powerful ‘Two-Midnight Rule’

TL/DR - The Centers for Medicare and Medicaid Services (CMS) uses a "two-midnight rule" when a clinician believes a Medicare beneficiary requires inpatient care that will likely last more than two nights, which is more expensive than outpatient care. The rule was implemented in 2013 as a benchmark to define types of care that qualify for full…

Latest AHA Health Care Plan Accountability Update Released

TL/DR - The American Hospital Association (AHA) has released its latest Health Care Plan Accountability Update. The Centers for Medicare & Medicaid Services (CMS) has issued their final rule for 2024, with the American Medical Association (AMA) highlighting the pros and cons of prior authorization. The CMS Interoperability and Prior…