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The 2-midnight rule and Medicare Advantage: 6 things to know

(By Jakob Emerson for Becker’s Hospital Review ) There are major changes afoot for Medicare Advantage plans and when they

Eileen Cook June 28, 2023June 28, 2023 2-Midnight Rule, CMS, Inpatient Hospital, Medicare Advantage, Outpatient Hospital

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

An Alzheimer’s drug is on the way, but getting it may still be tough. Here’s why

(By Jon Hamilton for NPR) The first drug shown to slow down Alzheimer’s disease is likely to receive full approval

Eileen Cook June 26, 2023June 26, 2023 Aducanumab, Alzheimer’s Disease, CMS, FDA, Lecanemab Drug, medicare, Older Adults

CMS FDA Medical Technology Medicare - General

Transforming Medicare Coverage: A New Medicare Coverage Pathway for Emerging Technologies and Revamped Evidence Development Framework

(Source - www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) is committed to fostering innovation while ensuring that people

Eileen Cook June 23, 2023June 23, 2023 CMS, FDA, Medical Technology, medicare, Transitional Coverage for Emerging Technologies

CMS Health Care Redesign HHS Medicare Advantage

Lawmakers want CMS’ prior authorization proposal to go further

(By Andrew Cass for Becker’s Hospital Review ) More than 230 U.S. representatives and 61 senators are asking HHS and

Eileen Cook June 22, 2023June 22, 2023 CMS, HHS, Medicare Advantage, Prior Authorization

CMS Health Care Finance Health Insurance

CMS: Private insurance spending to increase in 2023, 2024; slow in 2025 onward

(By Rylee Wilson for Becker’s Hospital Review ) CMS is projecting a 7.7 percent increase in private health insurance spending

Eileen Cook June 16, 2023June 16, 2023 CMS, Health Insurance, Healthcare Costs

CMS Health Care Finance Medicare - General Medicare Advantage

The current Medicare Advantage payment structure results in overpayments

Current research states that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower

Eileen Cook June 14, 2023June 14, 2023 Healthcare Finance, Healthcare Reform, medicare, Medicare Advantage, Medicare Advantage Overpayments

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

Inflation Reduction Act Continues to Lower Out-of-Pocket Prescription Drug Costs for Drugs with Price Increases Above Inflation

(Source - cms.gov/newsroom) A continuing key priority of the Biden-Harris Administration is lowering prescription drug costs. Today, the Department of

Eileen Cook June 12, 2023June 12, 2023 Average Sales Price (ASP), CMS, HHS, Medicare Part B, The Inflation Reduction Act, The Medicare Prescription Drug Inflation Rebate Program

CMS Medicaid Medicare - General Part D/Prescription Drugs

Weight loss drugs and CMS coverage: Why all eyes are on Medicare

(By Rylee Wilson for Becker’s Hospital Review ) New GLP-1 drugs to treat diabetes and obesity can be expensive, and

Eileen Cook June 12, 2023June 12, 2023 CMS, Medicaid, medicare, Medicare Part D, weight loss drugs

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

The Facts About Medicare Spending

(Source - The Kaiser Family Foundation Published June 2023) Medicare provides health insurance coverage for more than 65 million people,

Eileen Cook June 8, 2023June 8, 2023 Aging Population, CMS, Healthcare Finance, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS Health Care Finance Medicaid Medicare - General

Why some physicians are breaking up with Medicare

(By Riz Hatton for Becker’s Hospital Review ) Sixty-five percent of physicians plan to continue treating Medicare and Medicaid patients,

Eileen Cook June 6, 2023June 6, 2023 CMS, Medicaid, medicare, Pay Cuts, Physicians, Reimbursment