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Medicare Ending a Premium Support Program a Year Early — Here’s What That Means for Your 2027 Drug Costs
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What Medicare Could Cost in 2027 — And What to Watch During Open Enrollment
From the streets to a home of his own: One Veteran’s road to recovery
Employer healthcare costs to top $19K per worker: 5 things to know

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Prior Authorization

CMS DHS -OIG HHS Medicare Advantage Prior Authorization

Eileen Cook July 8, 2024 CMS, Deny Post-Acute Care, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Prior Authorization

OIG to probe whether Medicare Advantage plans deny post-acute care

(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General will audit Medicare Advantage plans’ use of prior

Artificial Intelligence CMS Medical Technology Medicare Advantage Prior Authorization

Eileen Cook June 26, 2024June 26, 2024 AI, CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

Tougher rules needed for Medicare Advantage AI, 51 lawmakers say

(By Rylee Wilson for Becker’s Hospital Review) Lawmakers are pushing CMS to do more to prevent misuse of artificial intelligence

Health Care - General Health Care Finance Primary Care Prior Authorization

Eileen Cook June 19, 2024June 19, 2024 AMA, Healthcare Costs, Healthcare Finance, Prior Authorization

Prior authorization is ‘wreaking havoc’: AMA survey

(By Mariah Taylor for Becker’s Hospital Review) Prior authorization is “wreaking havoc” on patient outcomes, physician burnout and productivity, a

CMS Health Care Redesign Health Insurance Medicaid Medicare Advantage Prior Authorization

Eileen Cook May 3, 2024May 3, 2024 application programming interfaces (APIs)., CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults, Prior Authorization

Final Prior Authorization Rules Look to Streamline the Process, but Issues Remain

(By Kaye Pestaina, Justin Lo, Rayna Wallace, and Michelle Long for The Kaiser Family Foundation Published: May 02, 2024) As

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

Cybersecurity Health Insurance HHS Medicare Advantage Prior Authorization

Eileen Cook March 13, 2024March 13, 2024 Cyberattack, Health Insurance, HHS, Medicare Advantage Prior Authorization, Prior Authorization

AHIP, HHS diverge on relaxing prior authorization after Change attack

(By Rylee Wilson for Becker’s Hospital Review) Suspending prior authorization requirements as providers continue to to face disruptions from the

Health Care Finance Medicare - General Medicare Advantage Prior Authorization

Eileen Cook February 26, 2024February 26, 2024 Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

What 3 recent studies found about Medicare Advantage

(By Rylee Wilson for Becker’s Hospital Review) Recent research on Medicare Advantage has uncovered differences in the types of care

Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs Prior Authorization

Eileen Cook February 23, 2024February 23, 2024 medicare, Medicare Advantage, Medicare Advantage extra benefits, Medicare Advantage Prior Authorization

Is Medicare Advantage really better?

A recent report from The Commonwealth Fund found that despite the belief that Medicare Advantage members are more satisfied with

Health Care - General Prior Authorization

Eileen Cook February 12, 2024February 12, 2024 Healthcare Costs, Healthcare Finance, Prior Authorization

States Target Health Insurers’ ‘Prior Authorization’ Red Tape

(By Bram Sable-Smith for KFF Health News) Christopher Marks noticed an immediate improvement when his doctor prescribed him the Type

Health Care - General Health Care Finance Health Insurance Prior Authorization

Eileen Cook January 4, 2024January 4, 2024 Health Insurance, Healthcare Costs, Healthcare Reform, Prior Authorization

Woman Petitions Health Insurer After Company Approves — Then Rejects — Her Infusions

(By Lauren Sausser for KFF Health News) When KFF Health News published an article in August about the “prior authorization

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Medicare Ending a Premium Support Program a Year Early — Here’s What That Means for Your 2027 Drug Costs
Medicare Telehealth Coverage Is Secure Through 2027 — Here’s What That Means for You
What Medicare Could Cost in 2027 — And What to Watch During Open Enrollment
From the streets to a home of his own: One Veteran’s road to recovery
Employer healthcare costs to top $19K per worker: 5 things to know

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