This week, we are reviewing the 2019 Parts A and B Premiums and Deductibles and reading updates from CMS on proposed payment cuts to hospitals for outpatient services for Medicare patients.

2019 Medicare Parts A & B Premiums and Deductibles | CMS | October 12, 2018

On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.

The annual deductible for all Medicare Part B beneficiaries is $185 in 2019, an increase of $2 from the annual deductible $183 in 2018. Premiums and deductibles for Medicare Advantage and Medicare Prescription Drug plans are already finalized and are unaffected by this announcement.

Read the full release on here.

‘Site-Neutral’ Payments?  Hospitals unhappy with OPPS 2019 | HealthLeaders | July 26, 2018

In a slate of proposals released late Wednesday afternoon, the Centers for Medicare & Medicaid Services proposed significant cuts to the payment hospitals receive for care they provide to Medicare patients.

The proposals call for Medicare to move away from a system that pays more for a clinic visit in the hospital outpatient setting than in a doctor’s office. The idea is to move to what CMS described as “site neutral payments for clinic visits.”

Read the full article on here.