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STAT+: New Medicare Advantage rule is boon for providers, drag on insurers

STAT

Starting this year, private Medicare plans have to cover their members’ hospitalizations at the higher inpatient rate if their doctors predict they’ll have to stay beyond two midnights. It’s the same rule — appropriately called the two-midnight rule — that traditional Medicare has followed for a decade.

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Opinion: In a threat to patient trust, Texas hospitals must ask ‘Are you a U.S. citizen?’

STAT

1, 2024, however, hospitals across Texas are required to ask each patient the question: “Are you a U.S. ” This new mandate directs hospitals to gather data on the costs of inpatient and emergency care for patients without legal status. Beginning Nov.

Hospitals 266
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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM - Pharm Pearls

Inpatient wound care teams provided long-term support and a nutrition consult ordered protein, micronutrient, and vitamin supplementation. Clonidine is often added back to their regimens inpatient as their vital signs tolerate. 2024 study [16]. 2024 Oct 8:S0735-6757(24)00523-0. Published online September 4, 2024.

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Vizient Shares Policy Recommendations with CMS in IPPS Proposed Rule Comments

vizient

offered comments to the Centers for Medicare and Medicaid Services (CMS) on the FY 2024 Inpatient Prospective Payment System (IPPS) Proposed Rule. Vizient, Inc.

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Episode 946: Animal data suggest calcium does not stabilize the cardiac membrane in hyperkalemia

Pharmacy Joe

First published as a research forum abstract in 2010 by Annals of Emergency Medicine, the research was just published in full in Critical Care Medicine in 2024 , which was when I first became aware of it. However a group of researchers using a canine cell model of hyperkalemia have reached a different conclusion about the effects of calcium.

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New malnutrition reporting measure available for reporting

pharmaphorum

CMS recently finalized its proposal to include the score in its Hospital Inpatient Quality Reporting (IQR) Program featured in the 2023 Inpatient Prospective Payment System Final Rule. What is the Global Malnutrition Composite Score?

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CMS Issues Sweeping End-Of Year Rule on Medicare Advantage and Medicare Part D

Putting Patients First Blog

CMS is proposing setting a 20% coinsurance/equivalent copayment limit for behavioral health services, eliminating cost-sharing for opioid treatment program services, and capping inpatient psychiatric service cost sharing to 100% of Medicare Fee-For-Services levels.