CMS Prior Authorization Proposal Aims to Streamline the Process and Improve Transparency
(By Kaye Pestaina, Justin Lo, Karen Pollitz, and Rayna Wallace for Kaiser Family Foundation Published: Feb 21, 2023) The Center
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Medicare Advantage
HHS: Medicare Advantage audits, risk adjustment changes are not funding cuts
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage audits are “unequivocally not cuts” in funding, HHS says. In a Feb.
Read More17 things to know about Medicare Advantage star ratings
(By Rylee Wilson for Becker’s Hospital Review) Star ratings are the metrics CMS uses to rate the quality of Medicare
Read MoreCMS needs more data on Medicare Advantage supplemental benefits, watchdog says
(By Rylee Wilson for Becker’s Hospital Review) CMS is lacking data on how Medicare Advantage supplemental benefits are used, according
Read MoreMedicare Advantage Plans Denied 2 Million Prior Authorization Requests in 2021, About 6% of Such Requests
(By Chris Lee for Kaiser Family Foundation published February 2, 2023) Medicare Advantage plans denied two million prior authorization requests
Read MoreWhere government insurance enrollment stands in 2023
(By Jakob Emerson for Becker’s Hospital Review) CMS released 2023 enrollment figures for government-sponsored health plans Jan. 31. Continue reading
Read MoreLawmakers reintroduce bill to rename Medicare Advantage plans
(By Andrew Cass for Becker’s Hospital Review) A trio of U.S. representatives has reintroduced a bill that would rename Medicare
Read MoreGovernment Lets Health Plans That Ripped Off Medicare Keep the Money
(By Fred Schulte for Kaiser Health News) Medicare Advantage plans for seniors dodged a major financial bullet Monday as government
Read MoreDid Your Health Plan Rip Off Medicare?
(By Fred Schulte for Kaiser Health News) Today, KHN has released details of 90 previously secret government audits that reveal
Read MoreInsurers that face the largest potential Medicare Advantage payment clawbacks
(By Jakob Emerson for Becker’s Hospital Review) The nation’s largest insurers are gearing up for upcoming changes to Medicare Advantage
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