Medicare Advantage – Page 38 – medicarereport.org

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What is the Centers for Medicare and Medicaid Services’ New AHEAD Model?

(By Alice Burns for The Kaiser Family Foundation Published: Jan 02, 2024) In September 2023, the Centers for Medicare and

Eileen Cook January 3, 2024January 3, 2024 Advancing All-Payer Health Equity Approaches and Development, AHEAD, CMS, CMS Innovation Center, Health Insurance, Healthcare Costs, Healthcare Finance, Healthcare redesign, Hospitals, medicare, Medicare Advantage, Mediciad

CMS Medicare Advantage Part D/Prescription Drugs Prior Authorization

New CMS prior authorization rule takes effect

(By Andrew Cass for Becker’s Hospital Review ) A new CMS rule aiming to streamline Medicare Advantage and Part D

Eileen Cook January 3, 2024January 3, 2024 CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Medicare Part D, Prior Authorization

CMS LTC Medicare - General Medicare Advantage

Senators concerned Medicare Advantage plans deny long-term care

(By Rylee Wilson for Becker’s Hospital Review ) A pair of senators are asking CMS to require Medicare Advantage plans

Eileen Cook December 28, 2023December 28, 2023 CMS, Long-term Care, medicare, Medicare Advantage, Older Adults, Senate

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

Medicare changes for the new year

January 1st is just around the corner, and many things will change, including Medicare. If you are a Medicare beneficiary

Eileen Cook December 28, 2023December 28, 2023 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Medicare Advantage Open Enrollment starts soon

Annual Medicare Open Enrollment has closed now, so it is time for Medicare Advantage Open Enrollment. What is Medicare Advantage

Eileen Cook December 27, 2023December 27, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Open Enrollment period, Medicare Part D, Older Adults

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Feds want Humana’s Medicare Advantage clawback lawsuit thrown out

(By Rylee Wilson for Becker’s Hospital Review ) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would

Eileen Cook December 21, 2023December 21, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Claw back

CMS Medicare Advantage

Hospitals ask CMS to add Medicare Advantage denial rates to star ratings

(By Rylee Wilson for Becker’s Hospital Review ) The Federation of American Hospitals is asking CMS to include how often

Eileen Cook December 18, 2023December 18, 2023 CMS, Medicare Advantage, Medicare Advantage Star Ratings

Artificial Intelligence Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review ) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully

Eileen Cook December 14, 2023December 14, 2023 AI, Care Coordination and Integrated Case Management, Denied Medicare Advantage Claims, Medicare Advantage, nH Predict, Older Adults

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

Medicare bills pass House committee: 3 things to know

(By Rylee Wilson for Becker’s Hospital Review ) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec.

Eileen Cook December 11, 2023December 11, 2023 Drug price Transparency, Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage transparency, Medicare Part D, PBM

CMS Health Care Finance Medicare Advantage

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