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Sunday, November 24, 2024

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CMS Medicare Advantage

Eileen Cook December 18, 2023December 18, 2023 CMS, Medicare Advantage, Medicare Advantage Star Ratings

Hospitals ask CMS to add Medicare Advantage denial rates to star ratings

(By Rylee Wilson for Becker’s Hospital Review) The Federation of American Hospitals is asking CMS to include how often Medicare

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

Eileen Cook December 14, 2023December 14, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Out-of-pocket prescription costs

The New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About

(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of

CMS Health Care Finance Health Care Redesign Health Insurance Legislative Update Medical Debt Medicare - General Part D/Prescription Drugs Price Transparency

Eileen Cook December 12, 2023December 12, 2023 CMS, Drug price Transparency, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Insulin Cost-sharing, Medicare Part D, Older Adults

3 Inflation Reduction Act Medicare changes taking effect in 2024

(By Rylee Wilson for Becker’s Hospital Review) The federal government will cap drug copays and premiums for Medicare beneficiaries and

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency

Eileen Cook December 11, 2023December 11, 2023 Drug price Transparency, Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage transparency, Medicare Part D, PBM

Medicare bills pass House committee: 3 things to know

(By Rylee Wilson for Becker’s Hospital Review) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7,

CMS Health Care Finance Medicare Advantage

Eileen Cook December 7, 2023December 7, 2023 CMS, medicare, Medicare Advantage, Medicare Part D, Mergers, Older Adults

Is the Medicare Advantage ‘gold rush’ over?

(By Rylee Wilson for Becker’s Hospital Review) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist David

CMS DHS -OIG Health Care Finance Medicare Advantage

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

10 payers audited for Medicare Advantage overpayments in 2023

(By Rylee Wilson for Becker’s Hospital Review) OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023.

CMS Dental/Oral Health Health Care Finance Health Care Redesign Medicare - General

Eileen Cook December 4, 2023December 4, 2023 CMS, dental health, Healthcare Costs, Healthcare redesign, medicare, Older Adults

Recent Changes to Medicare Coverage of Dental Services from the 2023 and 2024 Medicare Physician Fee Schedule Final Rules

(By Meredith Freed, Tricia Neuman, and Juliette Cubanski for the Kaiser Family Foundation Published: Dec 01, 2023) Medicare does not

CMS DHS -OIG Medicaid

Eileen Cook December 1, 2023December 1, 2023 CMS, Deceased Medicaid Enrollees, DHS-OIG, HHS Inspector General's Office Audit, Improper Payments, Medicaid, Medicaid Managed Care

OIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees

(By Rylee Wilson for Becker’s Hospital Review) Fourteen states gave managed care organizations payments for Medicaid enrollees for months after

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook November 30, 2023November 30, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Ads, Medicare Part D, Older Adults

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

(By Susan Jaffe for KFF Health News) After an unprecedented crackdown on misleading advertising claims by insurers selling private Medicare

CMS Emerging Health Issues Health Care Finance Health Insurance Medicare - General Medicare Advantage

Eileen Cook November 29, 2023November 29, 2023 Healthcare Costs, Hospital Inpatient Stay, medicare, Medicare Advantage, Medicare Advantage claims denials

Hospitals worry the plans are going to skirt federal regulations in reviewing hospital admissions

The American Hospital Association and the Federation of American Hospitals have voiced their concerns to the Centers for Medicare and