Healthcare Finance – Page 11 – medicarereport.org

Saturday, November 23, 2024

Latest:

Aging CMS Medicare - General Primary Care Telehealth

Eileen Cook April 17, 2024April 17, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Older Adults, Primary Care

Medicare’s push to improve chronic care attracts businesses, but not many doctors

(By Phil Galewitz and Holly K. Hacker for NPR) Carrie Lester looks forward to the phone call every Thursday from

Affordable Care Act (ACA)Health Care Finance Health Insurance Illegal Activities Legal Actions/Court Decisions

Eileen Cook April 16, 2024April 16, 2024 ACA, Government Subsidies, Healthcare Finance, Lawsuit, Low-income Consumers, Obamacare Plan-Switching Scheme

Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

(By Julie Appleby for KFF Health News) A wide-ranging lawsuit filed Friday outlines a moneymaking scheme by which large insurance

Affordable Care Act (ACA)Health Care Finance Health Insurance Medicaid Uninsured/Underinsured

Eileen Cook April 15, 2024April 15, 2024 ACA, Healthcare Costs, Healthcare Finance, Medicaid, Uninsured

Nearly 1 in 4 Adults Dumped From Medicaid Are Now Uninsured, Survey Finds

(By Phil Galewitz for KFF Health News) Nearly a quarter of adults disenrolled from Medicaid in the past year say

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

Health Care Finance Health Insurance

Eileen Cook April 11, 2024April 11, 2024 Health Insurance, Healthcare Finance, Out-of-network claims

Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims

(By Rylee Wilson for Becker’s Hospital Review) Major insurers made millions in fees by using MultiPlan, a data analytics firm,

Health Care Finance Part D/Prescription Drugs

Eileen Cook April 9, 2024April 9, 2024 Healthcare Finance, Medicare Part D, PBM Industry

Top PBMs by 2023 market share

(By Mackenzie Bean for Becker’s Hospital Review) Three pharmacy benefit managers accounted for nearly 80% of all prescription claims handled

CMS Health Care - General Health Care Finance Health Care Redesign Health Insurance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 8, 2024April 8, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS finalizes 2025 Medicare Advantage rule: 11 key updates

(By Jakob Emerson for Becker’s Hospital Review) CMS issued its final 2025 Medicare Advantage and Part D rule April 4,

CMS Health Care Finance Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 4, 2024April 4, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Medicare Advantage Benchmark, Medicare Advantage Utilization, Medicare FFS cost trends, Medicare Part D

Why higher Medicare Advantage utilization wasn’t reflected in 2025 rates

(By Jakob Emerson for Becker’s Hospital Review) CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025,

CMS HHS Medicaid Medicare - General Medicare Advantage Mental Health/Behavioral Health

Eileen Cook April 3, 2024April 3, 2024 Behavioral Health, CMS, Healthcare Finance, Medicaid, medicare, Medicare Advantage, Mental Health

Mental health care is hard to find, especially for people with Medicare or Medicaid

(By Rhitu Chatterjee for NPR) With rates of suicide and opioid deaths rising in the past decade and children’s mental

CMS Health Care Finance Medicare Advantage Part D/Prescription Drugs

Eileen Cook April 2, 2024April 2, 2024 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Benchmark, Medicare Part D

CMS finalizes 2025 Medicare Advantage rates

(By Rylee Wilson for Becker’s Hospital Review) CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025. The