CMS expanding its efforts to audit MA plans
The Centers for Medicare and Medicaid Services (CMS) announced it is expanding its efforts to audit Medicare Advantage (MA) plans
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Medicare Advantage
When is the Medicare initial enrollment period?
Medicare initial enrollment period (IEP) occurs three months before your 65th birthday, the month of your 65th birthday, and the
Read MoreH.R. 3467 Reforming Medicare Advantage
The Medicare Advantage Reform Act, H.R. 3467, would make changes to the Medicare Advantage health plans. The changes would include
Read MoreCMS Rolls Out Aggressive Strategy to Enhance and Accelerate Medicare Advantage Audits
(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) announced a significant expansion of its auditing efforts for
Read MoreImproving Seniors’ Timely Access to Care Act
‘Improving Seniors’ Timely Access to Care Act of 2025 was reintroduced by U.S. Senators Roger Marshall, M.D. and Mark Warner
Read MoreTrump’s DOJ Accuses Medicare Advantage Insurers of Paying ‘Kickbacks’ for Primo Customers
(By Julie Appleby for KFF Health News) When people call large insurance brokerages seeking free assistance in choosing Medicare Advantage
Read MoreHow do you qualify for a grocery allowance through Medicare Advantage?
We have all seen TV ads or social media posts about seniors qualifying for a grocery allowance, but who qualifies?
Read MoreInsurers pay higher commercial prices to hospitals in their Medicare Advantage network: Study
(By: Jakob Emerson for Becker’s Hospital Review) On average, insurers pay 4.7% higher commercial prices to hospitals that are a part
Read MoreCMS weighing prior authorization reforms: Report
(By: Andrew Cass for Becker’s Hospital Review) CMS is considering proposals that would cut the number of procedures that are subject
Read More5 Questions About the Idea of Default Enrollment into Medicare Advantage Plans
(By Meredith Freed, Juliette Cubanski, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 29, 2025)
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