CMS to terminate Medicare Advantage drug contracts with 2 Centene plans
(By Jakob Emerson for Becker’s Hospital Review) CMS is terminating Centene’s WellCare Medicare Advantage prescription drug plans in Arizona and
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Medicare Advantage
Older Americans say they feel trapped in Medicare Advantage plans
(By Sarah Jane Tribble for NPR) In 2016, Richard Timmins went to a free informational seminar to learn more about
Read MoreWhat is the Centers for Medicare and Medicaid Services’ New AHEAD Model?
(By Alice Burns for The Kaiser Family Foundation Published: Jan 02, 2024) In September 2023, the Centers for Medicare and
Read MoreNew 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
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 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 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
Read MoreHumana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges
(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare
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