New CMS prior authorization rule takes effect
(By Andrew Cass for Becker’s Hospital Review) A new CMS rule aiming to streamline Medicare Advantage and Part D prior authorizations
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Medicare Advantage
Senators concerned Medicare Advantage plans deny long-term care
(By Rylee Wilson for Becker’s Hospital Review) A pair of senators are asking CMS to require Medicare Advantage plans to
Read MoreMedicare changes for the new year
January 1st is just around the corner, and many things will change, including Medicare. If you are a Medicare beneficiary
Read MoreMedicare Advantage Open Enrollment starts soon
Annual Medicare Open Enrollment has closed now, so it is time for Medicare Advantage Open Enrollment. What is Medicare Advantage
Read MoreFeds want Humana’s Medicare Advantage clawback lawsuit thrown out
(By Rylee Wilson for Becker’s Hospital Review) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would implement
Read MoreHospitals ask CMS to add Medicare Advantage denial rates to star ratings
(By Rylee Wilson for Becker’s Hospital Review) The Federation of American Hospitals is asking CMS to include how often Medicare
Read MoreThe New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About
(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of
Read MoreHumana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges
(By Jakob Emerson for Becker’s Hospital Review) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully deny Medicare
Read MoreMedicare bills pass House committee: 3 things to know
(By Rylee Wilson for Becker’s Hospital Review) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec. 7,
Read MoreIs the Medicare Advantage ‘gold rush’ over?
(By Rylee Wilson for Becker’s Hospital Review) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist David
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