CMS to phase in Medicare Advantage risk adjustment changes, bumping payments by 3%
(By Rylee Wilson for Becker’s Hospital Review) CMS will move ahead with Medicare Advantage risk adjustment changes payers and some
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Health Care Finance
States Step In as Telehealth and Clinic Patients Get Blindsided by Hospital Fees
(By Markian Hawryluk for Kaiser Health News) When Brittany Tesso’s then-3-year-old son, Roman, needed an evaluation for speech therapy in
Read MoreMost of the Public Worries About the Future of Medicare But Sees Debate About Medicare Cuts More as Playing Politics than Actual Plans
(By Craig Palosky for Kaiser Family Foundation published March 30, 2023) With a divided Congress expected to weigh spending cuts
Read MoreHow does medical inflation compare to inflation in the rest of the economy?
(By Shameek Rakshit, Emma Wager, Paul Hughes-Cromwick, Cynthia Cox, and Krutika Amin for Kaiser Family Foundation Published: Mar 29, 2023)
Read MoreA Progress Check on Hospital Price Transparency
(By Michelle Andrews for Kaiser Health News) For decades, U.S. hospitals have generally stonewalled patients who wanted to know ahead
Read More‘Modern gangsters’: Ohio sues 3 PBMs for alleged price fixing
(By Andrew Cass for Becker’s Hospital Review) The Ohio attorney general’s office has filed a lawsuit against three pharmacy benefit
Read MoreAHIP backs HHS in challenge to agency’s copay coupon policies
(By Rylee Wilson for Becker’s Hospital Review) AHIP is backing an HHS policy that allows insurers not to count copay
Read MoreCongressman Seeks to Plug ‘Shocking Loophole’ Exposed by KHN Investigation
(By Sarah Jane Tribble for Kaiser Health News) A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses
Read MoreHow do facility fees contribute to rising emergency department costs?
By Hope Schwartz, Gary Claxton, Matthew Rae, and Cynthia Cox for Kaiser Family Foundation published March 27, 2023) The high
Read MoreReducing Medicare Advantage benchmark payments will slightly reduce benefits, study finds
(By Rylee Wilson for Becker’s Hospital Review) Reduced Medicare Advantage benchmark payments would likely have a small effect on premiums,
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