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CMS DHS -OIG Health Care Finance Part D/Prescription Drugs

Eileen Cook May 8, 2025May 8, 2025 Biosimilars drugs, CMS, Formularies, Healthcare Finance, medicare, Medicare Part D

Should CMS monitor biosimilar coverage on formularies?

The U.S. Department of Health and Human Services Office of Inspector General (OIG) released a study that found many Medicare

CMS Health Care Finance Medicare - General

Eileen Cook May 6, 2025May 6, 2025 CMS, Healthcare Costs, medicare, Older Adults

Original Medicare covers most but not all healthcare services

Medicare is the government health insurance program for adults 65 and older and individuals under 65 with certain disabilities. However,

CMS Health Care Redesign Medicare - General Medicare Advantage Prior Authorization

Eileen Cook May 1, 2025May 1, 2025 CMS, Healthcare Reform, medicare, Medicare Advantage, Prior Authorization

CMS weighing prior authorization reforms: Report

(By: Andrew Cass for Becker’s Hospital Review ) CMS is considering proposals that would cut the number of procedures that

CMS Medicare Advantage

Eileen Cook April 29, 2025April 29, 2025 CMS, Health Risk Assessments, Medicare Advantage, Older Adults

Medicare Advantage Insurers Often Use Rewards and Incentives to Encourage Enrollees to Complete Health Risk Assessments (HRAs)

(By Meredith Freed, Nolan Sroczynski, and Jeannie Fuglesten Biniek for The Kaiser Family Foundation Published: Apr 28, 2025) Beginning in

Affordable Care Act (ACA)CMS Health Insurance Medicaid Medicare - General Women’s Health

Eileen Cook April 25, 2025April 25, 2025 ACA, CMS, Health Insurance, Medicaid, medicare, Women’s Health

Coverage of Breast Cancer Screening and Prevention Services

(Source - The Kaiser Family Foundation Published: Apr 24, 2025) Among women in the United States, breast cancer is the

Aging CMS Health Care - General Medicaid Medicare - General

Eileen Cook April 25, 2025 CMS, Medicaid, medicare, Older Adults, PACE organizations

CMS fines 3 PACE organizations

(By: Jakob Emerson for Becker’s Hospital Review ) On April 11, CMS fined three PACE organizations for failing to meet

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs Rural Health

Eileen Cook April 24, 2025April 24, 2025 medicare, Medicare Advantage, Medicare Part D, Older Adults, Rural Health

Stand-Alone Drug Plans Cover a Larger Share of Medicare Part D Enrollees Living in the Most Rural Areas Than Medicare Advantage Plans

(By Juliette Cubanski, Tricia Neuman, and Anthony Damico for The Kaiser Family Foundation Published: Apr 23, 2025) The growing role

CMS Dental/Oral Health Health Care Finance Health Insurance Hearing Aids Medicare Advantage

Eileen Cook April 23, 2025April 23, 2025 CMS, Healthcare Costs, Medicare Advantage, Medicare Advantage Dental benefits, Medicare Advantage Supplemental benefits, Medicare Advantage Vision care, Older Adults

A costly mistake for many Medicare Advantage enrollees

A recent study by a leading healthcare system found that people on Medicare Advantage plans are not utilizing dental and

Eileen Cook April 23, 2025April 23, 2025 CMS, DOGE, HHS

DOGE has access to 19 HHS systems: Report

(By: Mackenzie Bean for Becker’s Hospital Review ) The U.S. Department of Government Efficiency has access to sensitive information in

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

Eileen Cook April 18, 2025April 18, 2025 CMS, FDA, Healthcare Costs, Healthcare Finance, medicare, Medicare Drug Price Negotiation Program, Medicare Part D, Small Molecule Drugs

The Effect of Delaying the Selection of Small Molecule Drugs for Medicare Drug Price Negotiation

(By Juliette Cubanski and Tricia Neuman for The Kaiser Family Foundation Published: Apr 16, 2025) President Trump has just signed