D-SNP prior auth denial rates twice as high as all Medicare Advantage
(By Jakob Emerson for Becker’s Hospital Review) Dual-eligible special needs plan enrollees are twice as likely to have prior authorization
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2024 Medical Loss Ratio Rebates
(By Jared Ortaliza and Cynthia Cox for The Kaiser Family Foundation Published: Jun 05, 2024) The Medical Loss Ratio (MLR)
Read MoreHarm reduction strategy for homeless Veterans
(Source – news.va.gov) Recovering from drug or alcohol addiction is often not a straight line from addiction to complete sobriety.
Read MoreCalifornia to repay $52M spent on Medicaid for noncitizens
(By Rylee Wilson for Becker’s Hospital Review) California improperly used $52.7 million in federal Medicaid funds to pay for nonemergency
Read MoreCaregivers saving Veteran lives from home
(Source – news.va.gov) In 2023, the Centers for Disease Control and Prevention reported that about 805,000 Americans suffer a heart
Read MoreSCAN beats CMS in Medicare Advantage star ratings lawsuit
(By Jakob Emerson for Becker’s Hospital Review) SCAN Health Plan has won its lawsuit against CMS that claimed the agency
Read MoreEnd of Pandemic Internet Subsidies Threatens a Health Care Lifeline for Rural America
(By Sarah Jane Tribble for KFF Health News) FORT HALL RESERVATION, Idaho — Myrna Broncho realized just how necessary an
Read MoreReducing slip and fall hazards
(Source – news.va.gov) Army Veteran Frank Marin sat at his kitchen table sipping his morning drink and reminiscing about his
Read MoreWeight loss drug coverage gets more complicated
(By Jakob Emerson for Becker’s Hospital Review) In less than a month’s time, a federal lawmaker warned weight loss drugs
Read MoreOutdated Medicare rules prevent some dementia patients from getting the medications they need
(By Carolyn Clevenger for STAT) Memory loss is the most obvious symptom of Alzheimer’s disease. But for the more than
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