SC Practical Solutions LLC

Specialized Healthcare Consulting Services

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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HHS Proposes Rule to Establish Disincentives for Health Care Providers that have Committed Information Blocking

HHS Proposes Rule to Establish Disincentives for Health Care Providers that have Committed Information Blocking HHS requests public comment by January 2, 2024 The U.S. Department of Health and Human Services (HHS) today released a proposed rule for public comment that would establish disincentives for healthcare providers found by the HHS Office of Inspector General (OIG)…

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Cardiovascular Organizations Pursue New, Independent Medical Board

The New Board would recognize the evolution of cardiology into a distinct medical specialty. Washington (September 21, 2023)— Many of the nation’s most prominent cardiovascular organizations, representing tens of thousands of physicians, unite today to pursue the creation of a new Board for cardiovascular medicine. The proposed new Board would be independent of the American…

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