OIG to probe whether Medicare Advantage plans deny post-acute care
(By Rylee Wilson for Becker’s Hospital Review) HHS’ Office of Inspector General will audit Medicare Advantage plans’ use of prior
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Medicare Advantage
Tougher rules needed for Medicare Advantage AI, 51 lawmakers say
(By Rylee Wilson for Becker’s Hospital Review) Lawmakers are pushing CMS to do more to prevent misuse of artificial intelligence
Read MoreMedicare’s hospital-at-home program
You may have heard of the “hospital-at-home program,” but do you know what it means? Hospital-at-home enables some patients who
Read MorePayers, providers back lawmakers’ MA prior authorization reform efforts
(By Andrew Cass for Becker’s Hospital Review) Legislation aiming to reform the Medicare Advantage prior authorization process has the backing
Read MoreCMS to recalculate Medicare Advantage star ratings: Report
(By Rylee Wilson for Becker’s Hospital Review) CMS will recalculate star ratings for Medicare Advantage plans after insurers challenging the
Read MoreMedicare Advantage members spend over $2,500 less than traditional Medicare enrollees annually: Study
(By Jakob Emerson for Becker’s Hospital Review) Medicare Advantage enrollees spend more than $2,500 less on healthcare costs on average
Read MoreBiden Plan to Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say
(By Susan Jaffe for KFF Health News) Months into a new Biden administration policy intended to lower drug costs for
Read MoreMany state retiree health plans are switching to Medicare Advantage plans
As of February 2024, about 33.4 million people were enrolled in Medicare Advantage plans, representing 51 percent of eligible Medicare
Read MoreD-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
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
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