The bigger picture for Medicare Advantage
Medicare Advantage has been around since 1997, when it was established by the Balanced Budget Act. Initially called “Medicare Choice,”
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CMS
CMS hikes Medicare Advantage rate 2.48% for 2027: 6 notes
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS is raising Medicare Advantage payments by 2.48%, or more than $13 billion,
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BCBS Association asks CMS to close Medicare Advantage fraud gaps, regulate AI coding tools
(By: Jakob Emerson for Becker’s Hospital Review) The Blue Cross Blue Shield Association submitted a wide-ranging letter to CMS on
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Medicare Beneficiaries to See Simpler and More Flexible Plan Choices, Better Drug Coverage, Higher Quality and Lower Costs in 2027
(Source – www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) is improving health plan quality, making it easier to
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CMS finalizes 2027 Medicare Advantage and Part D rule: 10 notes
(By: Jakob Emerson for Becker’s Hospital Review) CMS published its final 2027 Medicare Advantage and Part D rule on April
Read MoreCMS requests ACOs apply for LEAD model
(By: Elizabeth Casolo for Becker’s Hospital Review) CMS issued a request for applications March 31 for its long-term enhanced ACO
Read MoreNew Industry Segment-Specific Voluntary Compliance Program Guidance
The U.S. Department of Health and Human Services, Office of Inspector General (OIG) has released the new industry Segment-Specific Voluntary
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Payers’ prior authorization denial rates go public: 5 notes
(By: Jakob Emerson for Becker’s Hospital Review) For the first time, payers must publicly post data on how often they
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8 Medicare Advantage numbers to know in 2026
(By: Elizabeth Casolo for Becker’s Hospital Review) Medicare Payment Advisory Commission insights, Congressional reports and enrollment data have all been
Read MoreHow to navigate the maze of drug discounts to get the best price
(By Sydney Lupkin for NPR) When TrumpRx launched in February, it joined a chorus of websites claiming to have deals
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