CMS – medicarereport.org

Wednesday, November 29, 2023

Latest:

Emerging Health Issues Health Care - General Health Insurance Medicare Advantage Prior Authorization

Eileen Cook November 28, 2023November 28, 2023 Bipartisan Support, CMS, Medicare Advantage, Medicare Advantage claims denials, Medicare Advantage Prior Authorization

Bipartisan anger over Medicare Advantage denials on the rise

(By Rylee Wilson for Becker’s Hospital Review) Concerns about Medicare Advantage denials are on the rise in Washington, Politico reported

Alzheimer's/Dementia FDA Medicare - General Part D/Prescription Drugs

Eileen Cook November 28, 2023November 28, 2023 Aducanumab, Alzheimer's Disease, ARIA, CMS, Dementia, Donanemab, FDA, Lecanemab Drug, medicare, Medicare Part D, Older Adults

Manufacturers need to be more open about a dangerous Alzheimer’s drug side effect

(By Madhav Thambisetty for STAT) Since the FDA’s approval of lecanemab (marketed as Leqembi) and Medicare’s recent decision to cover

CMS Medicare - General Medicare Advantage Medigap Part D/Prescription Drugs

Eileen Cook November 27, 2023November 27, 2023 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults

Medicare Advantage plans are not for everyone

There are many advantages to selecting a Medicare Advantage plan over traditional Medicare. Medicare Advantage plans have a limit on

CMS Health Care Finance Medicare Advantage

Eileen Cook November 21, 2023November 21, 2023 CMS, Healthcare Costs, Improper Payments, Medicare Advantage

CMS: Medicare Advantage received $16.6B in improper payments in 2023

(By Rylee Wilson for Becker’s Hospital Review) CMS paid Medicare Advantage organizations an estimated $16.6 billion in overpayments in fiscal

CMS Medicare Advantage

Eileen Cook November 16, 2023November 16, 2023 CMS, Medicare Advantage, Medicare Advantage Ads

Medicare Advantage ads still under CMS scrutiny

(By Rylee Wilson for Becker’s Hospital Review) From October to December, airwaves are flooded with advertisements for Medicare Advantage plans,

CMS Health Care - General Health Care Finance Medicare - General

Eileen Cook November 16, 2023November 16, 2023 CMS, Compensation, Healthcare Costs, medicare, Primary Care, Primary Care Shortage

Compensation Is Key to Fixing Primary Care Shortage

(By Michelle Andrews for KFF Health News) Money talks. The United States faces a serious shortage of primary care physicians

Artificial Intelligence Health Insurance Legal Actions/Court Decisions Medicare Advantage

Eileen Cook November 15, 2023November 15, 2023 algorithm, Care Denials, Class Action Lawsuit, CMS, Medicare Advantage, Older Adults

UnitedHealth faces class action lawsuit over algorithmic care denials in Medicare Advantage plans

(By Casey Ross and Bob Herman for STAT) A class action lawsuit was filed Tuesday against UnitedHealth Group and a

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Part D/Prescription Drugs

Eileen Cook November 15, 2023November 15, 2023 Clawed Back Fee, CMS, Healthcare Costs, medicare, Medicare Part D, PBM Industry, Performance Fees

Biden Administration’s Limit on Drug Industry Middlemen Backfires, Pharmacists Say

(By Arthur Allen for KFF Health News) The Biden administration’s first major step toward imposing limits on the pharmacy benefit

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

Eileen Cook November 13, 2023November 13, 2023 CMS, medicare, Medicare Advantage, Medicare Open enrollment, Medicare Part D

It pays to review your choices

We are almost a month into Medicare Open Enrollment for 2024; have you reviewed other plans yet? If you are

CMS DHS -OIG Health Care Finance HHS Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook November 13, 2023November 13, 2023 CMS, DHS -Office of Inspector General, False Claims Act, Healthcare Costs, Medicare Advantage

Feds ramp up Medicare Advantage scrutiny

(By Rylee Wilson for Becker’s Hospital Review) The federal government is ramping up scrutiny of Medicare Advantage plans. In October,

← Previous