The world is being quietly rearranged by people who write very long documents.


The title they went with Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities Noisy translates that to

Medicare will pay Indian Health Service hospitals more for expensive drugs


Medicare will now pay Indian Health Service and Tribal hospitals extra for high-cost drugs given in outpatient settings. This means these facilities will get an add-on payment on top of their usual all-inclusive rate, starting January 1, 2025.
Indian Health Service and Tribal facilities have long struggled with underfunding, especially for expensive treatments. This change means they can now afford to provide high-cost drugs without losing money, which should improve access to care for Native American communities. It also means these facilities can offer a wider range of treatments that were previously financially out of reach.
Watch for an increase in the availability of high-cost drug treatments at Indian Health Service and Tribal facilities in 2025.

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