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
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CMS
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
Read MoreCoverage 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
Read MoreCMS fines 3 PACE organizations
(By: Jakob Emerson for Becker’s Hospital Review ) On April 11, CMS fined three PACE organizations for failing to meet
Read MoreA 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
Read MoreDOGE 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
Read MoreThe 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
Read MoreMedicare Advantage plans spent $38B on supplemental benefits in 2024: 5 notes
(By: Rylee Wilson for Becker’s Hospital Review ) Medicare Advantage plans spent $38 billion on non-Medicare benefits in 2024, according
Read MoreTexas Judge Overturns Controversial Nursing Facility Staffing Rule
(By Priya Chidambaram for The Kaiser Family Foundation Published: Apr 11, 2025) On Monday, April 7, Judge Matthew Kacsmaryk in
Read MoreCMS drops 5 proposed payment rules for 2026: 25 things to know
(By: Alan Condon for Becker’s Hospital Review ) CMS has released proposed payment rules for inpatient and long-term care hospitals,
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