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  2. End Stage Renal Disease Program - Wikipedia

    en.wikipedia.org/wiki/End_Stage_Renal_Disease...

    In 1972 the United States Congress passed legislation authorizing the End Stage Renal Disease Program (ESRD) under Medicare. Section 299I of Public Law 92-603, passed on October 30, 1972, extended Medicare coverage to Americans if they had stage five chronic kidney disease (CKD) and were otherwise qualified under Medicare's work history ...

  3. Ambulatory Payment Classification - Wikipedia

    en.wikipedia.org/wiki/Ambulatory_Payment...

    APCs or Ambulatory Payment Classifications are the United States government's method of paying for facility outpatient services for the Medicare (United States) program. A part of the Federal Balanced Budget Act of 1997 made the Centers for Medicare and Medicaid Services create a new Medicare "Outpatient Prospective Payment System" (OPPS) for hospital outpatient services -analogous to the ...

  4. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    Using the 2005 Conversion Factor of $37.90, Medicare paid 1.57 * $37.90 for each 99213 performed, or $59.50. Most specialties charge 200–400% of Medicare rates for their procedures and collect between 50 and 80% of those charges, after contractual adjustments and write-offs. [citation needed]

  5. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [7]

  6. Here are 3 major Medicare updates coming in 2025 - AOL

    www.aol.com/finance/3-major-medicare-updates...

    Medicare's open enrollment period is happening now. From Oct. 15 through Dec. 7, retirees have the option to make changes to their Medicare plan to ensure their health care needs are being met.

  7. Relative value unit - Wikipedia

    en.wikipedia.org/wiki/Relative_value_unit

    The sum of the three geographically weighted RVU values is then multiplied by the Medicare conversion factor to obtain a final price. [1] Historically, a private group of 29 (mostly specialist ) physicians—the American Medical Association 's Specialty Society Relative Value Scale Update Committee (RUC)—have largely determined Medicare's RVU ...

  8. Medicare's $2,000 prescription drug cap expected to bring ...

    www.aol.com/medicare-2-000-prescription-drug...

    Starting Jan. 1, older adults on Medicare will spend no more than $2,000 a year on prescription drugs when a new price cap on out-of-pocket payments from the Inflation Reduction Act goes into effect.

  9. Tarsus Provides 2025 Update: Accelerating the Launch of ...

    lite.aol.com/tech/story/0022/20250113/9330721.htm

    By the end of Q3 2024, more than 13,000 Eye Care Professionals (ECPs) were prescribing XDEMVY with over 70% writing for multiple patients. Broad commercial and Medicare reimbursement now extends to more than 80% of lives covered and a gross-to-net discount percentage in the low 40s as of the end of Q3 2024.

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