CMS – Page 58 – medicarereport.org

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Is the Medicare Advantage ‘gold rush’ over?

(By Rylee Wilson for Becker’s Hospital Review ) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist

Eileen Cook December 7, 2023December 7, 2023 CMS, medicare, Medicare Advantage, Medicare Part D, Mergers, Older Adults

CMS DHS -OIG Health Care Finance Medicare Advantage

10 payers audited for Medicare Advantage overpayments in 2023

(By Rylee Wilson for Becker’s Hospital Review ) OIG audits found over $213 million in estimated Medicare Advantage overpayments in

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

CMS Dental/Oral Health Health Care Finance Health Care Redesign Medicare - General

Recent Changes to Medicare Coverage of Dental Services from the 2023 and 2024 Medicare Physician Fee Schedule Final Rules

(By Meredith Freed, Tricia Neuman, and Juliette Cubanski for the Kaiser Family Foundation Published: Dec 01, 2023) Medicare does not

Eileen Cook December 4, 2023December 4, 2023 CMS, dental health, Healthcare Costs, Healthcare redesign, medicare, Older Adults

CMS DHS -OIG Medicaid

OIG: 14 states paid managed care organizations $249M for deceased Medicaid enrollees

(By Rylee Wilson for Becker’s Hospital Review ) Fourteen states gave managed care organizations payments for Medicaid enrollees for months

Eileen Cook December 1, 2023December 1, 2023 CMS, Deceased Medicaid Enrollees, DHS-OIG, HHS Inspector General’s Office Audit, Improper Payments, Medicaid, Medicaid Managed Care

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Uncle Sam Wants You … to Help Stop Insurers’ Bogus Medicare Advantage Sales Tactics

(By Susan Jaffe for KFF Health News) After an unprecedented crackdown on misleading advertising claims by insurers selling private Medicare

Eileen Cook November 30, 2023November 30, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Ads, Medicare Part D, Older Adults

CMS Emerging Health Issues Health Care Finance Health Insurance Medicare - General Medicare Advantage

Hospitals worry the plans are going to skirt federal regulations in reviewing hospital admissions

The American Hospital Association and the Federation of American Hospitals have voiced their concerns to the Centers for Medicare and

Eileen Cook November 29, 2023November 29, 2023 Healthcare Costs, Hospital Inpatient Stay, medicare, Medicare Advantage, Medicare Advantage claims denials

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

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

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

CMS Health Care Finance HHS Medicare - General Medicare Advantage

Medicare solvency would be extended 17 years under Medicare Advantage utilization rates: Study

(By Jakob Emerson for Becker’s Hospital Review ) The Hospital Insurance Trust Fund would be solvent until 2048 if traditional

Eileen Cook November 22, 2023November 22, 2023 Healthcare Finance, Hospital Insurance Trust Fund, medicare, Medicare Advantage, Medicare Insolvency, Medicare Utilization

CMS Health Care Finance 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

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

CMS Medicare Advantage

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

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