CMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits
(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for
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Health Care Finance
Call Centers Replaced Many Doctors’ Receptionists. Now, AI Is Coming for Call Centers.
(By Darius Tahir for KFF Health News) At one call center in the Philippines, workers help Americans with diabetes or
Read MoreHealth Provisions in the 2025 Federal Budget Reconciliation Bill
(Source – The Kaiser Family Foundation published May 20, 2025) On May 18, the House Budget Committee advanced a budget
Read MoreAHA urges lawmakers to protect supply chain: 4 notes
(By: Alexandra Murphy for Becker’s Hospital Review) In a statement submitted to the Senate Finance Committee on May 14, the
Read MoreHow Will the 2025 Budget Reconciliation Affect the ACA, Medicaid, and the Uninsured Rate?
(By Jared Ortaliza, Matt McGough, Cynthia Cox, Kaye Pestaina, Robin Rudowitz, and Alice Burns for The Kaiser Family Foundation Published:
Read MoreInsurers pay higher commercial prices to hospitals in their Medicare Advantage network: Study
(By: Jakob Emerson for Becker’s Hospital Review) On average, insurers pay 4.7% higher commercial prices to hospitals that are a part
Read MoreTrump signs an order to reduce drug prices, but it’s unclear how it would work
(By Sydney Lupkin for NPR) President Trump is taking aim at U.S. drug prices with an executive order geared toward
Read More“Most favored nation” pricing model for certain drugs
According to a recent poll, three in four adults in the United States say the cost of medications is unaffordable.
Read MoreShould CMS monitor biosimilar coverage on formularies?
The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare
Read MorePBMs and pharmacy closures
Those independent pharmacies, excluded from Medicare Part D networks, were more likely to close. A new research study conducted by
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