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Friday, November 22, 2024

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Health Care Finance Health Care Redesign Legislative Update Medicare - General

Eileen Cook June 17, 2024 CMS, Healthcare Finance, Legislation, Lower Costs, medicare

Five Things to Know About Medicare Site-Neutral Payment Reforms

(By Zachary Levinson, Tricia Neuman, and Scott Hulver for The Kaiser Family Foundation Published: Jun 14, 2024) Amid rising concerns

Health Care Redesign Legislative Update Medicare Advantage

Eileen Cook June 17, 2024June 17, 2024 CMS, Improving Seniors' Timely Access to Care Act, Legislation, Medicare Advantage, Older Adults

Payers, providers back lawmakers’ MA prior authorization reform efforts

(By Andrew Cass for Becker’s Hospital Review) Legislation aiming to reform the Medicare Advantage prior authorization process has the backing

CMS Health Care Finance Health Care Redesign Legal Actions/Court Decisions Medicare Advantage

Eileen Cook June 14, 2024June 14, 2024 CMS, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings, Older Adults

CMS to recalculate Medicare Advantage star ratings: Report

(By Rylee Wilson for Becker’s Hospital Review) CMS will recalculate star ratings for Medicare Advantage plans after insurers challenging the

Elections - Healthcare issues Health Care Finance Health Care Redesign Medicare - General Part D/Prescription Drugs

Eileen Cook June 13, 2024June 13, 2024 CMS, Copay Cap, Elections, Healthcare Costs, Healthcare Finance, medicare, Medicare Insulin Cost-sharing, Medicare Part D

The Facts About the $35 Insulin Copay Cap in Medicare

(By Juliette Cubanski and Tricia Neuman for The Kaiser Family Foundation Published: Jun 12, 2024) In a recent post on

CMS Health Care Finance Health Insurance Medicaid Medicare - General Part D/Prescription Drugs

Eileen Cook June 13, 2024June 13, 2024 CMS, Healthcare Costs, Healthcare Finance, Medicaid, medicare, Medicare Part D

US health spending to top $7.7 trillion by 2032: CMS

(By Naomi Diaz for Becker’s Hospital Review) CMS expects national health spending to reach $7.7 trillion by 2032, with 2023

CMS Health Care Finance Medicare - General Medicare Advantage

Eileen Cook June 11, 2024June 11, 2024 CMS, Healthcare Costs, Healthcare Finance, medicare, Medicare Advantage, Older Adults

Medicare Advantage members spend over $2,500 less than traditional Medicare enrollees annually: Study

(By Jakob Emerson for Becker’s Hospital Review) Medicare Advantage enrollees spend more than $2,500 less on healthcare costs on average

CMS Health Care Finance Health Insurance Medicare - General Medicare Advantage Part D/Prescription Drugs

Eileen Cook June 11, 2024June 11, 2024 CMS, Healthcare Costs, Healthcare Finance, independent pharmacies, medicare, Medicare Advantage, Medicare Part D, Older Adults, PBM, The Inflation Reduction Act

Biden Plan to Save Medicare Patients Money on Drugs Risks Empty Shelves, Pharmacists Say

(By Susan Jaffe for KFF Health News) Months into a new Biden administration policy intended to lower drug costs for

Health Care Finance Medicaid Medicare Advantage Part D/Prescription Drugs

Eileen Cook June 7, 2024June 7, 2024 CMS, D-SNP Prior Authorization Denial, Dual Eligible, Medicaid, Medicare Advantage, Medicare Part D, Older Adults

D-SNP prior auth denial rates twice as high as all Medicare Advantage

(By Jakob Emerson for Becker’s Hospital Review) Dual-eligible special needs plan enrollees are twice as likely to have prior authorization

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook June 5, 2024 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings, Older Adults

SCAN beats CMS in Medicare Advantage star ratings lawsuit

(By Jakob Emerson for Becker’s Hospital Review) SCAN Health Plan has won its lawsuit against CMS that claimed the agency

CMS Emerging Health Issues Health Care Finance Health Insurance Medicare - General Part D/Prescription Drugs

Eileen Cook June 4, 2024June 4, 2024 CMS, GLP-1s drugs, Health Insurance companies, Healthcare Costs, Healthcare Finance, medicare, Medicare Part D, Older Adults

Weight loss drug coverage gets more complicated

(By Jakob Emerson for Becker’s Hospital Review) In less than a month’s time, a federal lawmaker warned weight loss drugs