Is the two-midnight rule costing payers? It depends who you ask
(Rylee Wilson for Becker’s Hospital Review) Both CVS Health and Humana contend with rising inpatient costs in Medicare Advantage, but
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CMS
Use of Prior Authorization in Medicare Advantage Exceeded 46 Million Requests in 2022
(By Jeannie Fuglesten Biniek, Nolan Sroczynski, and Tricia Neuman for The Kaiser Family Foundation Published: Aug 05, 2024) Virtually all
Read MoreWhat to Know About Medicare Part D Premiums
(By Juliette Cubanski and Tricia Neuman for The Kaiser Family Foundation Published: Aug 01, 2024) The Inflation Reduction Act of
Read MoreCalifornia tries but fails to fix a major Medicare loophole for seniors
(By Kate Wolffe for NPR) Many seniors are grateful when they turn 65 and become eligible for Medicare. But to
Read MoreCMS cracks down on ‘unauthorized’ ACA broker activity
(By Jakob Emerson for Becker’s Hospital Review) CMS has issued new policies aimed at blocking “unauthorized changes” from brokers when
Read MoreMisleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges
(By Julie Appleby for KFF Health News) The government is giving away money! So say ads on a variety of
Read MorePay attention during the Open Enrollment Period
Although Medicare Open Enrollment is a few months away, it is not too early to learn about changes that may
Read MoreCMS cites Aetna in 1st No Surprises Act audit
(By Rylee Wilson for Becker’s Hospital Review) Aetna failed to accurately calculate qualified payment amounts for air ambulance services, CMS’
Read MoreCMS launches dementia care with alternative Medicare payments
(By Mariah Taylor for Becker’s Hospital Review) CMS has launched a dementia care program that will be piloted by 400
Read More10 Things About Long-Term Services and Supports (LTSS)
(By Priya Chidambaram and Alice Burns for The Kaiser Family Foundation Published: Jul 08, 2024) Long-term services and supports (LTSS)
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