About Medicare
The federal Medicare program is an essential pillar of the state’s health care system, supporting more than 6 million Californians over the age of 65 and younger Californians with disabilities. One in five hospitals is at risk of closing, in part because Medicare reimbursement rates are far lower than the cost of providing care. It’s essential that future federal Medicare policy protects patient care.
Certain 340B Hospitals to Receive Lump-Sum Settlement
What’s happening: A final rule from the Centers for Medicare & Medicaid Services (CMS) contains a remedy for the agency’s 340B-acquired drug payment policy that was in effect from 2018 to 2022.
What else to know: Eligible hospitals will receive a lump-sum settlement for claims, including beneficiary cost sharing, as a result of CMS’ invalidated policy that reduced payments for separately payable outpatient drugs acquired under the 340B program.
CMS Finalizes Policies for 2024 Medicare Advantage and Part D Programs
The Centers for Medicare & Medicaid Services (CMS) has finalized changes to Medicare Advantage (MA) and Part D programs for contract year 2024. The final rule is effective June 5.