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Latest News

5 Medicare Advantage plans audited for upcoding in 2023

(By Rylee Wilson for Becker’s Hospital Review ) Audits from HHS’ Office of Inspector General published in the first half

Eileen Cook July 21, 2023July 21, 2023 HHS Inspector General’s Office Audit, Medicare Advantage, Medicare Advantage Overpayments, Upcoding

Health Care Finance Health Insurance Medical Debt

Medical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril

(By Noam N. Levey for KFF Health News) For Emily Boller, it was a $5,000 hospital bill for a simple

Eileen Cook July 21, 2023July 21, 2023 Health Insurance, Healthcare Costs, Healthcare Finance, Hospitals, Medical debt, Physicians

Substance Abuse Veterans Benefits

VA Substance Abuse Treatment Program key road to recovery

(Source - news.va.gov) Jeffrey Decresie separated from the Army in 1997. The experiences he lived through during his time in

Eileen Cook July 20, 2023July 20, 2023 Cognitive Behavioral Therapy, Motivational Enhancement Therapy, Motivational Interviewing, Substance Abuse, VA Substance Abuse Treatment Program, Veterans, Veterans Health care

DHS -OIG Medicaid

Medicaid managed care organizations deny 1 in 8 prior authorization requests: OIG

(By Rylee Wilson for Becker’s Hospital Review ) HHS’ Office of Inspector General raised concerns about the rate of prior

Eileen Cook July 20, 2023 DHS -Office of Inspector General, Medicaid Managed Care, Prior Authorization

Aging Alzheimer’s/Dementia

Living in disadvantaged neighborhoods linked to higher dementia risk, study finds

(By Ambar Castillo for ST A T) Americans who live in neighborhoods with less socioeconomic advantage may have a higher

Eileen Cook July 20, 2023July 20, 2023 Alzheimer’s Disease, Dementia, Disadvantaged Neighborhoods, Higher Risk of Dementia, Older Adults

Alzheimer’s/Dementia CMS Medical Technology

CMS pitches expanded coverage of PET scans for Alzheimer’s disease

(By Rylee Wilson for Becker’s Hospital Review ) CMS is proposing broader coverage of PET scans for patients with Alzheimer’s

Eileen Cook July 19, 2023July 19, 2023 Alzheimer’s Disease, Alzheimer’s Treatment, beta amyloid plaques, CMS, Medical Technology, PET Scans

Alzheimer’s/Dementia Veterans Benefits

Advanced dementia patients often need a BRO

(Source - news.va.gov) Alzheimer’s. Dementia. These diagnoses rip the chord of safety and certainty in patients, families and caregivers at

Eileen Cook July 19, 2023 Alzheimer’s Disease, Behavioral Recovery Outreach, Dementia, Veterans, Veterans Health care

CMS Health Care Finance Medicare Advantage

3 ways to reduce Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage overpayments may be higher than the the Medicare Payment and

Eileen Cook July 19, 2023July 19, 2023 CMS, Medicare Advantage, Medicare Advantage Overpayments, Medicare Advantage Risk Adjustment

Health Care Finance Medicare Advantage

UnitedHealthcare preparing for rising Medicare Advantage costs in 2024

(By Rylee Wilson for Becker’s Hospital Review ) UnitedHealthcare is expecting medical costs among the Medicare Advantage population to keep

Eileen Cook July 18, 2023July 18, 2023 Healthcare Costs, Healthcare Finance, Medicare Advantage

Alzheimer’s/Dementia Medical Technology

Hearing aids may slow mental decline in those at higher risk of dementia, study finds

(By Lizzy Lawrence for ST A T) Doctors have long suspected that hearing loss in older adults hastens dementia, the

Eileen Cook July 18, 2023 Alzheimer’s Disease, Dementia, Hearing Aids, Older Adults