Discus Analytics

"The finalized rule will increase Medicare reimbursement for time-intensive healthcare services provided by cognitive specialists such as rheumatologists."

What do physicians need to know about the 2020 Medicare fee schedule?

2020 Medicare Fee Schedule: Top Five Things for Physicians to Know January 7, 2020 The 2020 Medicare physician fee schedule promises to lighten the administrative load for physicians in 2021 with news about changes in coding for outpatient evaluation and management (E/M) services. CMS estimates that under their proposal, rheumatologists would see on average a 15% p...

“The unified agenda moved a rule from CMS to foster greater adoption of interoperability to its long-term actions list, giving it a deadline of March 2022 to finalize it.”

Regulatory agenda lays out timetable for major rules on drug pricing, interoperability The Trump administration estimates to release rules on drug prices and information blocking this month but punted finalizing a rule on interoperability until 2022.

"PDP premiums will vary widely across plans next year; among the 20 PDPs available nationwide, average premiums will range 6-fold from a low of $13 per month for Humana Walmart Value Rx Plan to a high of $83 per month for Express Scripts Medicare Choice."

Medicare Enrollees Looking at Stand-Alone Part D Drug Plans Should Shop Around, Report Says With more choices available in 2020 for Medicare stand-alone Part D drug plans, beneficiaries should compare choices, especially if they are not low income or on specialty drugs or drugs not on the payer’s formulary, according to a new analysis.