CMS names 15 medications for 2028 price negotiation cycle
(By: Paige Twenter for Becker’s Hospital Review) CMS will negotiate the prices for Trulicity, Biktarvy and 13 other high-cost medications
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Health Care Finance
CMS proposes nearly flat Medicare Advantage payments for 2027: 5 notes
(By: Jakob Emerson for Becker’s Hospital Review) CMS proposed its 2027 Medicare Advantage and Part D capitation rates and payment
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Eli Lilly to expand 340B reporting requirements
(By: Ella Jeffries for Becker’s Hospital Review) Eli Lilly and Co. will require all 340B covered entities to submit claims-level
Read MoreSick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
(By Susan Jaffe for KFF Health News) Ever since Larry Wilkewitz retired more than 20 years ago from a wood
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Don’t miss this chance to change plans
The Medicare Advantage open enrollment period runs from January 1st through March 31, 2026. If you missed your chance during
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3 big questions about Trump’s healthcare policy plan
(By Jakob Emerson & Alan Condon for Becker’s Hospital Review) President Donald Trump released a sparsely detailed healthcare policy framework
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You may be eligible for Extra Help with Medicare Part D
Medicare Extra Help is a federal program that assists individuals with limited income and resources in paying for prescription drug
Read MoreHow North Carolina erased medical debt for 2.5 million people
(By Alex Olgin for NPR) After a routine trip to her mailbox, Dawn Daly-Mack almost threw away an important letter
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MA payments are $76 billion above FFS Medicare
Medicare Advantage (MA) plans are funded primarily through fixed monthly payments from Medicare, based on the expected healthcare costs of
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H.R.5454 Medicare Advantage Prompt Pay Act
The Medicare Advantage Prompt Pay Act, H.R.5454, is bipartisan legislation introduced in Congress to address issues related to the reimbursement
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