CMS – Page 49 – medicarereport.org

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D-SNP prior auth denial rates twice as high as all Medicare Advantage

(By Jakob Emerson for Becker’s Hospital Review ) Dual-eligible special needs plan enrollees are twice as likely to have prior

Eileen Cook June 7, 2024June 7, 2024 CMS, D-SNP Prior Authorization Denial, Dual Eligible, Medicaid, Medicare Advantage, Medicare Part D, Older Adults

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage

SCAN beats CMS in Medicare Advantage star ratings lawsuit

(By Jakob Emerson for Becker’s Hospital Review ) SCAN Health Plan has won its lawsuit against CMS that claimed the

Eileen Cook June 5, 2024 CMS, Healthcare Finance, Medicare Advantage, Medicare Advantage Star Ratings, Older Adults

CMS Emerging Health Issues Health Care Finance Health Insurance Medicare - General Part D/Prescription Drugs

Weight loss drug coverage gets more complicated

(By Jakob Emerson for Becker’s Hospital Review ) In less than a month’s time, a federal lawmaker warned weight loss

Eileen Cook June 4, 2024June 4, 2024 CMS, GLP-1s drugs, Health Insurance companies, Healthcare Costs, Healthcare Finance, medicare, Medicare Part D, Older Adults

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

Outdated Medicare rules prevent some dementia patients from getting the medications they need

(By Carolyn Clevenger for ST A T) Memory loss is the most obvious symptom of Alzheimer’s disease. But for the

Eileen Cook June 4, 2024June 4, 2024 Alzheimer’s Disease, CMS, Dementia, medicare, Medication, Older Adults

Accountable Care Organizations (ACO)Aging CMS Health Care - General Medicare - General

New measure of value can help accountable care organizations deliver better health outcomes for less money

By University of Texas at Austin on May 30, 2024 The Centers for Medicare & Medicaid Services (CMS) is placing

Arlene Sharp May 31, 2024May 31, 2024 ACO, CMS, Healthcare Costs, medicare

Aging CMS Employer Healthcare Health Care - General Medicare - General

Remove the COBRA Creditable Coverage Penalty in Medicare and Help Seniors

By Andrew F Biernat on May 30, 2024 for Managed Healthcare Executive As strategic adviser to the managed care industry

Arlene Sharp May 31, 2024May 31, 2024 CMS, COBRA, medicare, Part B

Health Care Finance Medicare - General

Who should pay for Medicare?

By Chris Pope on May 20, 2024 for City Journal In 2023, Medicare spent an average of $16,710 on health-care

Arlene Sharp May 21, 2024May 21, 2024 CMS, medicare, Older Adults

CMS Emerging Health Issues Health Care Finance Medicare - General

Medicare spending on weight loss drugs may be lower than previously thought: Report

(By Rylee Wilson for Becker’s Hospital Review ) Medicare spending on GLP-1 medications may not be as high as some

Eileen Cook May 17, 2024 CMS, GLP-1s drugs, Healthcare Finance, medicare, Medicare Part D, Older Adults, Semaglutide

CMS Health Care Redesign Health Insurance HHS Medicaid

CMS extends Medicaid waivers to 2025

(By Rylee Wilson for Becker’s Hospital Review ) CMS will extend flexibilities designed to help states keep more eligible individuals

Eileen Cook May 14, 2024May 14, 2024 CMS, HHS, Medicaid, Medicaid Waivers

Aging CMS Health Care - General Medicare - General Mental Health/Behavioral Health Substance Abuse

Congress: Close Medicare’s dangerous gaps in coverage for addiction treatment

(By Brian Hurley and Paul N. Samuels for ST A T) While many people immediately picture young adults when thinking

Eileen Cook May 13, 2024May 13, 2024 CMS, medicare, Mental Health, Older Adults, Opioid Use Disorder, Substance Abuse