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  2. Medicare Prescription Drug, Improvement, and Modernization Act

    en.wikipedia.org/wiki/Medicare_Prescription_Drug...

    American Hospital Association v. Becerra, No. 20-1114, 596 U.S. ___ (2022) The Medicare Prescription Drug, Improvement, and Modernization Act, [1] also called the Medicare Modernization Act or MMA, is a federal law of the United States, enacted in 2003. [2] It produced the largest overhaul of Medicare in the public health program's 38-year history.

  3. 340B Drug Pricing Program - Wikipedia

    en.wikipedia.org/wiki/340B_Drug_Pricing_Program

    The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to "stretch scarce federal resources as far as possible ...

  4. The pros and cons of Medicare Advantage: Should you ... - AOL

    www.aol.com/finance/medicare-advantage-pros-cons...

    On the whole, Medicare Advantage advertising is so misleading that the federal Centers for Medicare & Medicaid Services (CMS) put out a 226-page rule in 2023 to reign in MA's marketing practices ...

  5. Physician Quality Reporting System - Wikipedia

    en.wikipedia.org/wiki/Physician_Quality...

    As of 2015, CMS included the following health care practitioners under eligible providers: [4] Medicare providers (Physicians (Doctors of Medicine, Osteopathic Medicine), Podiatry, Optometry, Oral Surgery, Dentistry, and Chiropractic)

  6. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Pharmacy benefit management. In the United States, a pharmacy benefit manager ( PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. [ 1][ 2] PBMs operate inside of ...

  7. Medicare Part D - Wikipedia

    en.wikipedia.org/wiki/Medicare_Part_D

    Centers for Medicare and Medicaid Services logo. Medicare Part D, also called the Medicare prescription drug benefit, is an optional United States federal-government program to help Medicare beneficiaries pay for self-administered prescription drugs. [ 1] Part D was enacted as part of the Medicare Modernization Act of 2003 and went into effect ...

  8. Healthcare Common Procedure Coding System - Wikipedia

    en.wikipedia.org/wiki/Healthcare_Common...

    The acronym HCPCS originally stood for HCFA Common Procedure Coding System, a medical billing process used by the Centers for Medicare and Medicaid Services (CMS). Prior to 2001, CMS was known as the Health Care Financing Administration (HCFA). HCPCS was established in 1978 to provide a standardized coding system for describing the specific ...

  9. Judge refuses to extend timeframe for Georgia's new Medicaid ...

    www.aol.com/news/judge-refuses-extend-timeframe...

    Republican Gov. Brian Kemp's office said it would work with the Centers for Medicare & Medicaid Services to “continue to pursue the necessary time to demonstrate the program’s viability.” ...