New pharmacy benefits will cap annual out-of-pocket costs at $2,000 starting in 2025. #NewsismyBusiness
The bills getting support are H.R. 2653 – Medical Manufacturing, Economic Development, and Sustainability Act of 2021 and the Request for Equity in the Medicare Advantage program.
Puerto Rico-based pharmacy benefit manager Abarca, which is disrupting the industry with a new approach to technology and business practices, announced it had been selected to present its pharmacy engagement program at the 2021 annual US Academy of Managed Care Pharmacy conference. The annual managed care conference is attended by more than 1,000 healthcare leaders […]
Puerto Rico’s Resident Commissioner in Washington, Jenniffer González introduced the Territories Medicare Prescription Drug Assistance Equality Act, a bipartisan bill to make premium and cost-sharing subsidies available to low-income Medicare Part D beneficiaries who live in Puerto Rico and other U.S. territories. Medicare Part D is a voluntary outpatient prescription drug benefit for people with […]
“Americans have always understood the material progress owed to capitalism, but for just as long, they have also insisted upon their democratic right to curb its excesses.” (Americana – Bhu Srinivasan) If this is Democratic Socialism, then it is pervasive in the United States and creeping up. Medicare for all and free college tuition are two […]
As Puerto Rico continues to rebuild following the devastation caused by Hurricanes Irma and Maria, Medicare funding disparities still undermine access to healthcare on the island, the group said.
STARSTrack, a solution developed by Nagnoi, allows health insurance agencies to monitor CMS’ Five-Star Quality Rating Program.
The classification is based on measures evaluated by CMS during 2017.
The CMS Star Rating System reflects the quality of care received by plan members, their satisfaction with their plan.
The agreement with Abarca is effective Jan. 1, 2019.
The first week of April will be critical to the future of Puerto Rico’s healthcare system as the Centers for Medicare and Medicaid Services (CMS) will rule over numerous requests for improved treatment in the funding for Medicare Advantage programs on the island, the Medicare Advantage Products Association of Puerto Rico said.
Puerto Rico’s Resident Commissioner, Jenniffer González-Colón, and the Democratic congressman for New York, José Serrano, asked the U.S. Secretary of Health, Alex Azar, to address the disparity in reimbursements to health providers in Puerto Rico under the Medicare Advantage (MA) program.
For many older adults, the details, categories and letters that identify the diverse benefits of Medicare can be complex and confusing, which can affect the process of selecting the coverage that best suits their needs.
The HIMA-San Pablo hospital system has re-entered the MMM Healthcare provider network, to offer healthcare services at its facilities in Caguas, Humacao, Fajardo and Cupey, executives representing both companies announced.
MMM Healthcare LLC H4004, a coordinated care HMO program, recently achieved a 4.5 out of the 5-star rating in the 2018 Medicare Quality Rating Program of the Centers for Medicare and Medicaid Services, Orlando González, president of MMM announced.
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