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CMS Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency Prior Authorization

Eileen Cook April 11, 2024April 11, 2024 CMS, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Price Transparency, Prior Authorization

Gaps in Medicare Advantage Data Remain Despite CMS Actions to Increase Transparency

(By Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 10, 2024) The Centers

CMS Health Care - General Health Care Finance Health Care Redesign Health Insurance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 8, 2024April 8, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS finalizes 2025 Medicare Advantage rule: 11 key updates

(By Jakob Emerson for Becker’s Hospital Review) CMS issued its final 2025 Medicare Advantage and Part D rule April 4,

CMS Health Care Finance Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 4, 2024April 4, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Advantage Benchmark, Medicare Advantage Utilization, Medicare FFS cost trends, Medicare Part D

Why higher Medicare Advantage utilization wasn’t reflected in 2025 rates

(By Jakob Emerson for Becker’s Hospital Review) CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025,

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

Eileen Cook April 3, 2024April 3, 2024 Behavioral Health, CMS, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Mental Health

Mental health care is hard to find, especially for people with Medicare or Medicaid

(By Rhitu Chatterjee for NPR) With rates of suicide and opioid deaths rising in the past decade and children’s mental

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 2, 2024April 2, 2024 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Benchmark, Medicare Part D

CMS finalizes 2025 Medicare Advantage rates

(By Rylee Wilson for Becker’s Hospital Review) CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025. The

Affordable Care Act (ACA)CMS Health Insurance Illegal Activities

Eileen Cook April 1, 2024April 1, 2024 ACA, CMS, Fraud, Health Insurance, Insurance Brokers

ACA health insurance plans are being switched without enrollees’ OK

(By Julie Appleby for NPR) Some consumers covered by Affordable Care Act insurance plans are being switched from one plan to

CMS Health Care - General Medicare - General Medicare Advantage

Arlene Sharp March 29, 2024March 29, 2024 CMS, medicare, Medicare Advantage, Older Adults

Your Doctor or Your Insurer? Little-Known Rules May Ease the Choice in Medicare Advantage

By Susan Jaffe for KFF Health News on March 29, 2024 Bart Klion, 95, and his wife, Barbara, faced a

CMS Health Care Finance HHS Legal Actions/Court Decisions Medicare Advantage Part D/Prescription Drugs

Eileen Cook March 28, 2024March 28, 2024 CMS, Healthcare Finance, HHS, Lawsuit, Medicare Advantage, Medicare Advantage Star Ratings, Medicare Part D

CMS faces another challenge of Medicare Advantage star ratings methodology

(By Rylee Wilson for Becker’s Hospital Review) A Medicare Advantage insurer facing termination of one of its contracts from the

CMS Health Care Finance Uninsured/Underinsured

Eileen Cook March 26, 2024March 26, 2024 CMS, Fair Share Spending, Healthcare Finance, Hospital Charity Care, Nonprofit hospitals, Uninsured

20 hospitals, systems where charity care exceeds tax breaks

(By Kelly Gooch for Becker’s Hospital Review) The Lown Institute, a nonpartisan healthcare think tank, released a new report March