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  • The Medicare Advantage paradox: Who benefits most?
  • Claims Denials and Appeals in ACA Marketplace Plans in 2024
  • Iowa bill aims to hike HMO tax, bolster Medicaid
  • Medicare premiums have increased
  • 10 Things to Know About Medicaid Managed Care
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Medicare Fraud; Illegal Activities
Gerry Hafer October 7, 2015

Whistleblower Suit Leads to Settlement Agreement

A Whistleblower suit filed by a former employee of Serenity Hospice employee in Phoenix, Arizona has led to a $2.2 million

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Medicare - General
Gerry Hafer October 6, 2015October 7, 2015

Therapy Services Subject to Evaluation OIG

Escalating concerns over billing for therapy services provided by skilled nursing facilities (SNFs) were cited in the Office of Inspector General’s

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Medicare - General
Gerry Hafer October 5, 2015October 7, 2015

Medicare Part D at Ten Years: The 2015 Marketplace and Key Trends, 2006-2015

(By – Jack Hoadley, Juliette Cubanski, and Tricia Neuman – Kaiser Family Foundation) Since 2006, Medicare beneficiaries have had access through

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Health Care - GeneralMedicare - General
Gerry Hafer October 4, 2015

Analysis of 2016 Premium Changes in the Affordable Care Act’s Health Insurance Marketplaces

(Source – Kaiser Family Foundation)  The chart and tables below present an updated analysis of changes in premiums for the

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Medicare - General
Gerry Hafer October 3, 2015October 4, 2015

10 FAQs: Medicare’s Role in End-of-Life Care

(Source – Kaiser Family Foundation) About three-quarters of the 2.5 million people who die during the year in the US

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Medicare - General
Gerry Hafer October 2, 2015October 1, 2015

Pecked By A Chicken? Sucked Into A Jet Engine? There’s a Code For That

(By – Barbara Feder Ostrov, Kaiser Health News) If you’re struck by an orca, sucked into a jet engine, or

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Medicare Advantage
Gerry Hafer October 1, 2015

GAO: More Oversight Needed Over Medicare Advantage Provider Networks

(By – Phil Galewitz, Kaiser Health News) The federal government needs to increase its oversight over private Medicare health plans to

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Affordable Care Act (ACA)Health Care - GeneralMedicare - GeneralUncategorized
Gerry Hafer September 30, 2015

Keiser Health News Poll Results – End-of-life Counseling and other issues

The results of a Kaiser Health Tracking Poll released 9/30 show that doctor-patient end-of-life talks are favored overwhelmingly by Medicare participants. Likewise, poll results

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Health Care - GeneralMedicare Fraud; Illegal Activities
Gerry Hafer September 30, 2015September 30, 2015

Audit Trails for Ambulance Billings Difficult to Track

The Department of Health and Human Services’ inspector general’s office casts some doubt on the validity of roughly $30 million

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Medicare Advantage
Gerry Hafer September 29, 2015

Provider Availability for Medicare Advantage Participants Judged Inadequate

A Government Accountability Office (GAO) report released yesterday questions the adequacy of the provider availability for Medicare Advantage plan participants,

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  • The Medicare Advantage paradox: Who benefits most?
  • Claims Denials and Appeals in ACA Marketplace Plans in 2024
  • Iowa bill aims to hike HMO tax, bolster Medicaid
  • Medicare premiums have increased
  • 10 Things to Know About Medicaid Managed Care

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