Lawmakers want CMS’ prior authorization proposal to go further
(By Andrew Cass for Becker’s Hospital Review) More than 230 U.S. representatives and 61 senators are asking HHS and CMS
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Medicare Advantage
Aetna Medicare Advantage plan moving ahead, NYC mayor says
(By Rylee Wilson for Becker’s Hospital Review) New York City Mayor Eric Adams is overriding the city comptroller’s attempt to
Read MoreAlliance of Community Health Plans pitches cap on Medicare Advantage marketing spending, broker payments
(By Rylee Wilson for Becker’s Hospital Review) The Alliance of Community Health Plans is proposing a set of policies aimed
Read MoreThe current Medicare Advantage payment structure results in overpayments
Current research states that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower
Read MoreNYC declines to enact Aetna Medicare Advantage plan, citing ongoing lawsuit
(By Rylee Wilson for Becker’s Hospital Review) New York City’s comptroller is halting implementation of an Aetna Medicare Advantage plan
Read More6 Medicare Advantage plans audited for upcoding in the last six months
(By Rylee Wilson for Becker’s Hospital Review) Audits published in the last six months found almost $32 million in overpayments
Read MoreThe Facts About Medicare Spending
(Source – The Kaiser Family Foundation Published June 2023) Medicare provides health insurance coverage for more than 65 million people,
Read MoreOptum home care program linked to fewer emergency, hospital visits for Medicare Advantage members: Study
(By Jakob Emerson for Becker’s Hospital Review) Medicare Advantage patients who receive in-home health visits through the Optum HouseCalls program
Read MoreRetirees challenging New York City’s Aetna Medicare Advantage plan in court
(By Rylee Wilson for Becker’s Hospital Review) A group of retired New York City employees are suing Mayor Eric Adams
Read MoreMedicare Advantage star ratings decline will cost CVS Health up to $1B in revenue
(By Jakob Emerson for Becker’s Hospital Review) CVS Health is expecting Aetna’s operating income to decrease by up to $1
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