2024 Medicare Advantage and Part D Final Rule (CMS-4201-F)
(Source – www.cms.gov) On April 5, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that
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Medicare Advantage
Senators float ‘no upcode’ act to crack down on Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Two Senators are introducing legislation aimed at reducing Medicare Advantage overpayments. Sen. Bill
Read MoreMedicare Advantage outperformed traditional Medicare on clinical quality, study finds
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage outpaced traditional Medicare on most clinical quality measures in 2010 and
Read MoreMedicare Advantage enrollment continued to climb in 2022
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage enrollment continued to accelerate in 2022, an updated analysis from Chartis
Read MoreCMS to phase in Medicare Advantage risk adjustment changes, bumping payments by 3%
(By Rylee Wilson for Becker’s Hospital Review) CMS will move ahead with Medicare Advantage risk adjustment changes payers and some
Read MoreOIG: Cigna received $6.2M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Cigna-HealthSpring Life & Health Insurance Company received an estimated $6.24 million in Medicare
Read MoreWhy some retirees are wary of employer Medicare Advantage plans
(By Rylee Wilson for Becker’s Hospital Review) After a yearslong bureaucratic battle, New York City officials approved an Aetna Medicare
Read MoreReducing Medicare Advantage benchmark payments will slightly reduce benefits, study finds
(By Rylee Wilson for Becker’s Hospital Review) Reduced Medicare Advantage benchmark payments would likely have a small effect on premiums,
Read MorePayers spending ‘buckets of money’ lobbying against Medicare Advantage rate changes
(By Rylee Wilson for Becker’s Hospital Review) The insurance industry is mounting its largest lobbying fight in years against CMS’
Read MoreMedicare Advantage plans face significant risks of fraud, OIG says
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage plans should be aware of fraudsters turning their efforts to private
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