CMS urges Medicare Advantage plans to relax some prior authorization requirements
(By Alia Paavola for Becker’s Hospital Review) CMS is encouraging all Medicare Advantage organizations and Medicare-Medicaid plans to waive or relax
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CMS
After Pandemic Ravaged Nursing Homes, New State Laws Protect Residents
(By Susan Jaffe for Kaiser Health News) When the coronavirus hit Martha Leland’s Connecticut nursing home last year, she and
Read MoreHigher and Faster Growing Spending Per Medicare Advantage Enrollee Adds to Medicare’s Solvency and Affordability Challenges
(By Jeannie Fuglesten Biniek, Juliette Cubanski, and Tricia Neuman for Kaiser Family Foundation published August 17, 2021) The number of people
Read MoreCMS pulls Medicaid work rules in 3 more states
(By Morgan Haefner for Becker’s Hospital Review) Health officials in Ohio, South Carolina and Utah received word from CMS on Aug.
Read MoreUnderstanding the Medicare Advantage Star Ratings
With Medicare’s Open Enrollment around the corner, one of the ways to determine the quality of a Medicare Advantage health
Read MorePart D premiums will be increasing in 2022
The Centers for Medicare and Medicaid Services (CMS) is projecting that the average monthly premium for Medicare Part D coverage
Read MoreCMS pushed to set national policy on Aduhelm access
(By Nick Moran for Becker’s Hospital Review) The Alzheimer’s Association joins insurers as the latest to call for CMS to
Read MoreCMS unveils surprise-billing rule: 10 things to know
(By Alia Paavola for Becker’s Hospital Review) CMS unveiled July 2 the first in a series of rules aimed at shielding
Read MoreThe Ensuring Patient Access to Critical Breakthrough Products Act
The bipartisan bill, The Ensuring Patient Access to Critical Breakthrough Products Act, would require Medicare to cover all breakthrough devices
Read MoreState insurance marketplaces offered $20M in grants from CMS
(By Nick Moran for Becker’s Hospital Review) State-based insurance marketplaces are now eligible for $20 million in new grant money
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