Gaps in Medicare Advantage Data Remain Despite CMS Actions to Increase Transparency
(By Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 10, 2024) The Centers
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Healthcare Finance
Investigation reveals UnitedHealth, Cigna, Aetna made millions in fees from out-of-network claims
(By Rylee Wilson for Becker’s Hospital Review) Major insurers made millions in fees by using MultiPlan, a data analytics firm,
Read MoreTop PBMs by 2023 market share
(By Mackenzie Bean for Becker’s Hospital Review) Three pharmacy benefit managers accounted for nearly 80% of all prescription claims handled
Read MoreCMS finalizes 2025 Medicare Advantage rule: 11 key updates
(By Jakob Emerson for Becker’s Hospital Review) CMS issued its final 2025 Medicare Advantage and Part D rule April 4,
Read MoreWhy higher Medicare Advantage utilization wasn’t reflected in 2025 rates
(By Jakob Emerson for Becker’s Hospital Review) CMS has finalized a slight decrease in Medicare Advantage benchmark payments for 2025,
Read MoreMental health care is hard to find, especially for people with Medicare or Medicaid
(By Rhitu Chatterjee for NPR) With rates of suicide and opioid deaths rising in the past decade and children’s mental
Read MoreCMS finalizes 2025 Medicare Advantage rates
(By Rylee Wilson for Becker’s Hospital Review) CMS finalized a slight decrease in Medicare Advantage benchmark payments for 2025. The
Read MoreHospitals Cash In on a Private Equity-Backed Trend: Concierge Physician Care
(By Phil Galewitz for KFF Health News) Nonprofit hospitals created largely to serve the poor are adding concierge physician practices,
Read MoreCMS faces another challenge of Medicare Advantage star ratings methodology
(By Rylee Wilson for Becker’s Hospital Review) A Medicare Advantage insurer facing termination of one of its contracts from the
Read MoreThe Burden of Getting Medical Care Can Exhaust Older Patients
(By Judith Graham for KFF Health News) Susanne Gilliam, 67, was walking down her driveway to get the mail in
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