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CMS Legislative Update Medicaid Medicare - General

Arlene Sharp December 20, 2022December 20, 2022 0 Comments legislative update, medicare, Older Adults

Congress reaches major health policy deal on Medicare, Medicaid, and pandemic preparedness

By Rachel Cohrs and Sarah Owermohle for Stat News on December 19, 2022 WASHINGTON — Leaders in Congress have reached a

CMS Health Care - General Health Insurance Medicare - General

Arlene Sharp December 20, 2022December 20, 2022 0 Comments CMS, medicare, Older Adults

Medicare Pay Cuts Will Hurt Seniors’ Care, Doctors Argue

By Michael McAuliff for Kaiser Health News on December 20, 2022 Doctors are urging Congress to call off cuts scheduled

CMS Medicare Advantage Mental Health/Behavioral Health Part D/Prescription Drugs

Eileen Cook December 16, 2022December 16, 2022 0 Comments Behavioral Health, CMS, HHS, Medicare Advantage, Medicare Part D

HHS Proposes Rule to Strengthen Beneficiary Protections, Improve Access to Behavioral Health Care, and Promote Equity for Millions of Americans with Medicare Advantage and Medicare Part D

(Source – www.cms.gov) The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services

CMS Medicaid Medicare - General

Eileen Cook December 16, 2022December 16, 2022 0 Comments Immunosuppressive drugs for ESRD, Medicare eligibility, Medicare enrollment, Special Enrollment periods

Four Key Changes in the Biden Administration’s Final Rule on Medicare Enrollment and Eligibility

(By Nancy Ochieng , Juliette Cubanski, and Tricia Neuman for The Kaiser Family Foundation published December 15, 2022) The Centers

Affordable Care Act (ACA)CMS

Eileen Cook December 14, 2022December 14, 2022 0 Comments ACA, CMS

CMS proposes new rule for ACA plans: 5 things to know

(By Rylee Wilson for Becker’s Hospital Review) CMS is proposing a new rule to streamline options on the ACA marketplace

Accountable Care Organizations (ACO)CMS Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook December 13, 2022December 13, 2022 0 Comments ACO REACH program, CMS, Fraud and Abuse, Medicare Advantage

Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model

(By Rylee Wilson for Becker’s Hospital Review) A group of Democratic senators and representatives are concerned about organizations with previous

CMS DHS -OIG Illegal Activities Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook December 12, 2022December 12, 2022 0 Comments CMS, DHS-OIG, GAO, Medicare Advantage, Medicare Fraud

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage

CMS Medicare Advantage

Eileen Cook November 18, 2022November 18, 2022 0 Comments CMS, Extra Benefits, Medicare Advantage, Medicare Advantage Dental benefits, Medicare Advantage Fitness benefit, Medicare Advantage Hearing, Medicare Advantage Vision care

Extra Benefits Offered by Medicare Advantage Firms Vary

(By Jeannie Fuglesten Biniek, Nolan Sroczynski, Meredith Freed, and Tricia Neuman for Kaiser Family Foundation Published: Nov 16, 2022) Medicare

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook November 15, 2022November 15, 2022 0 Comments Inflation Reduction Act of 2022, Insulin, medicare, Medicare Advantage, Medicare Part D, Medicare Plan Finder

Medicare Plan Finder Likely Won’t Note New $35 Cap on Out-of-Pocket Insulin Costs

(By Susan Jaffe for Kaiser Health News) A big cut in prescription drug prices for some Medicare beneficiaries kicks in

Accountable Care Organizations (ACO)CMS Medicare - General

Eileen Cook November 9, 2022November 9, 2022 0 Comments Accountable Care Organizations, CMS, Specialty care, Value-based senior care

CMS doubles down on value-based payments for specialty care: 4 things to know

(By Rylee Wilson for Becker’s Hospital Review) CMS wants all traditional Medicare beneficiaries and most Medicaid beneficiaries in accountable care