CMS – medicarereport.org

CMS Health Care Finance Medicare Advantage

Medicare Advantage star ratings decline will cost CVS Health up to $1B in revenue

May 30, 2023May 30, 2023 Eileen Cook 0 Comments Aetna, CMS, CVS Health, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings

(By Jakob Emerson for Becker’s Hospital Review) CVS Health is expecting Aetna’s operating income to decrease by up to $1

CMS Medicaid Medicare - General Medicare Advantage Mental Health/Behavioral Health

CMS: Dual-eligible Medicare Advantage members less likely to receive cancer screenings, mental healthcare

May 25, 2023May 25, 2023 Eileen Cook 0 Comments Cancer Screenings, CMS, Dual Eligible, Medicaid, medicare, Mental Health

(By Rylee Wilson for Becker’s Hospital Review) Individuals who are dually eligible for Medicare and Medicaid had lower scores on

Alzheimer's/Dementia CMS FDA Medicare - General Part D/Prescription Drugs

How Medicare’s Aduhelm decision revived old questions about new drugs

May 25, 2023May 25, 2023 Eileen Cook 0 Comments Aduhelm drug, Alzheimer's Disease, Alzheimer's Treatment, CMS, FDA, medicare

(By Kerry Dooley Young for STAT) Medicare’s decision to withhold coverage for Biogen’s Aduhelm despite the Food and Drug Administration’s

CMS Health Insurance Medical Technology Medicare - General Telehealth

Medicare payers vow to keep covering remote patient monitoring

May 24, 2023May 24, 2023 Eileen Cook 0 Comments CMS, medicare, Private Insurance, Remote Patient Monitoring, Telehealth

(By Giles Bruce for Becker’s Hospital Review) Private insurance companies that contract for Medicare will continue to pay for remote

CMS Medicaid Part D/Prescription Drugs Price Transparency

CMS proposes rules to improve Medicaid drug price transparency

May 24, 2023May 24, 2023 Eileen Cook 0 Comments CMS, Drug price Transparency, Managed Care plans, Medicaid, PBM

(By Rylee Wilson for Becker’s Hospital Review) CMS is proposing a set of rules for drug manufacturers, pharmaceutical benefit managers

CMS Legislative Update Medicare Advantage

Senators probing largest Medicare Advantage plans over how algorithms factor in care denials

May 18, 2023May 18, 2023 Eileen Cook 0 Comments Algorithms Factor, Care Denials, CMS, Medicare Advantage, Medicare's Coverage rules

(By Bob Herman and Casey Ross for STAT) Senators warned the country’s largest Medicare Advantage insurers at a hearing on

CMS DHS -OIG Medicare - General Mental Health/Behavioral Health Pandemic Telehealth

Medicare improperly paid for $580M in psychotherapy services, OIG audit finds

May 8, 2023May 8, 2023 Eileen Cook 0 Comments CMS, COVID-19, DHS -Office of Inspector General, Improper Payments, medicare, Telehealth

(By Rylee Wilson for Becker’s Hospital Review) Medicare improperly paid for over half a billion dollars in psychotherapy services, including

Alzheimer's/Dementia CMS FDA Medicare - General Part D/Prescription Drugs

26 state attorneys general urge Medicare to cover Alzheimer’s treatments

May 3, 2023May 3, 2023 Eileen Cook 0 Comments Alzheimer's Disease, Alzheimer's Treatment, CMS, FDA, medicare

(By Rylee Wilson for Becker’s Hospital Review) Twenty-six state attorneys general are asking Medicare to cover monoclonal antibody treatments for

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Half of All Eligible Medicare Beneficiaries Are Now Enrolled in Private Medicare Advantage Plans

May 2, 2023May 2, 2023 Eileen Cook 0 Comments CMS, medicare, Medicare Advantage, Medicare Part D

(By Jeannie Fuglesten Biniek, Meredith Freed, Anthony Damico, and Tricia Neuman for Kaiser Family Foundation published May 01, 2023) According

Medicaid Arrangements to Coordinate Medicare and Medicaid for Dual-Eligible Individuals

April 28, 2023April 28, 2023 Eileen Cook 0 Comments CMS, Dual Eligible, Medicaid, medicare, Older Adults

(Maria Peña, Maiss Mohamed, and Alice Burns Kaiser Family Foundation Published: Apr 27, 2023) There are 12.5 million people enrolled

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