New CMS prior authorization rule takes effect
(By Andrew Cass for Becker’s Hospital Review) A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations
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CMS
New payer price transparency rules take effect in 2024
(By Jakob Emerson for Becker’s Hospital Review) New requirements for payers under CMS’ Transparency in Coverage rule took effect Jan.
Read MoreAmericans on Medicare now get better access to mental health care. Here’s how
(By Juana Summers, Avery Keatley, and Sarah Handel for NPR) Starting Jan. 1, the more than 65 million Americans who
Read MoreSenators concerned Medicare Advantage plans deny long-term care
(By Rylee Wilson for Becker’s Hospital Review) A pair of senators are asking CMS to require Medicare Advantage plans to
Read MoreMedicare changes for the new year
January 1st is just around the corner, and many things will change, including Medicare. If you are a Medicare beneficiary
Read MoreMedicare Advantage Open Enrollment starts soon
Annual Medicare Open Enrollment has closed now, so it is time for Medicare Advantage Open Enrollment. What is Medicare Advantage
Read MoreMedicare expanding coverage
Congress has approved an expansion of mental health providers covered under the Medicare program. As of January 1, 2024, Medicare
Read MoreFeds want Humana’s Medicare Advantage clawback lawsuit thrown out
(By Rylee Wilson for Becker’s Hospital Review) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would implement
Read MoreU.S. government spent more on health care in 2022 than six countries with universal health care combined
(By Annalisa Merelli for STAT) American taxpayers footed the bill for at least $1.8 trillion in federal and state health
Read MoreHospitals 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
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