SC Practical Solutions LLC

Specialized Healthcare Consulting Services

American Telemedicine Associations Artificial Intelligence Principles

In late October, the Biden Administration unveiled an executive order aimed at prioritizing the responsible use of artificial intelligence (AI), focusing on safety, security, privacy, equity, and innovation across various sectors. Under the authority of the Defense Production Act, the executive order mandates that AI developers disclose safety test outcomes and relevant data to the…

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2024 Home Health Prospective Payment System Final Rule

  On November 1, 2023, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2024 Home Health Prospective Payment System (HH PPS) Rate Update final rule, which updates Medicare payment policies and rates for Home Health Agencies (HHAs). This rule includes routine updates to the Medicare Home Health PPS payment rates…

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CMS finalized the 2024 payment rate and policy updates for the End-Stage Renal Disease

On October 27, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that updates payment rates and policies under the end-stage renal disease (ESRD) prospective payment system (PPS) for renal dialysis services furnished to Medicare beneficiaries on or after January 1, 2024. This rule also updates the acute kidney injury (AKI) dialysis payment rate for renal dialysis services furnished by ESRD facilities for calendar year (CY) 2024. In addition, the rule updates requirements for the…

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President Biden Issues Executive Order on Safe, Secure, and Trustworthy Artificial Intelligence

              On October 30, 2023, President Biden issued a landmark Executive Order to ensure that America leads the way in seizing the promise and managing the risks of artificial intelligence (AI). The Executive Order establishes new standards for AI safety and security, protects Americans’ privacy, advances equity and civil…

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Some diabetes drugs to require prior authorization for Blue Cross and BCN members, starting Jan. 1

                        Beginning Jan. 1, 2024, the presence of prior pharmacy claims for insulin alone will no longer qualify Blue Cross Blue Shield of Michigan commercial and Blue Care Network commercial members for coverage of the medications in the table listed below. We’ll require a…

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