CMS – Page 54 – medicarereport.org

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Why won’t Medicare deliver food to sick seniors, if it could get them healthy?

(By Nicholas Florko for ST A T) WASHINGTON – Some twelve percent of traditional Medicare beneficiaries have heart failure. Roughly

Eileen Cook February 28, 2024February 28, 2024 CMS, Food as medicine, Healthcare Costs, Healthcare redesign, medicare, Older Adults

CMS Medicaid Medicare - General

CMS proposal could have ‘catastrophic impact’ on Medicare, Medicaid research

(By Rylee Wilson for Becker’s Hospital Review ) CMS is proposing raising prices and tightening access to Medicare and Medicaid

Eileen Cook February 23, 2024February 23, 2024 Claims Data, CMS, Medicaid, medical research, medicare

CMS Health Care Finance Part D/Prescription Drugs

CMS Issues Additional Guidance on Program to Allow People with Medicare to Pay Out-of-Pocket Prescription Drug Costs in Monthly Payments

(Source - www.cms.gov) The Centers for Medicare & Medicaid Services (CMS) released the second part of draft guidance for the

Eileen Cook February 22, 2024February 22, 2024 CMS, Healthcare Costs, Medicare Part D, Older Adults, Out-of-pocket prescription costs

CMS Health Care Finance Medicare Advantage

Payers urge ‘stability’ from CMS on Medicare Advantage

(By Rylee Wilson for Becker’s Hospital Review ) CMS needs to do more to account for rising utilization rates in

Eileen Cook February 20, 2024February 20, 2024 CMS, Healthcare Costs, Healthcare Finance, Higher Utilization, Medicare Advantage

CMS Health Care - General Health Care Redesign

9 health systems newly approved for ‘hospital at home’

(By Giles Bruce for Becker’s Hospital Review ) While some health systems have been apprehensive about setting up hospital-at-home programs

Eileen Cook February 16, 2024February 16, 2024 CMS, Healthcare Costs, Healthcare redesign, Hospital at Home

CMS Health Care Finance Legal Actions/Court Decisions Part D/Prescription Drugs

Humana sued over Medicare Advantage 340B payments

(By Rylee Wilson for Becker’s Hospital Review ) Montgomery, Ala.-based Baptist Health is suing Humana, alleging the insurer’s Medicare Advantage

Eileen Cook February 14, 2024February 14, 2024 CMS, Healthcare Finance, Lawsuit, Medicare Advantage 340B payments

CMS Medicare Advantage

The two-midnight rule and Medicare Advantage: 7 updates

(By Jakob Emerson for Becker’s Hospital Review ) In 2024, Medicare Advantage plans must provide coverage for an inpatient admission

Eileen Cook February 13, 2024February 13, 2024 CMS, Inpatient Hospital, Medicare Advantage, Two-midnight Rule

Artificial Intelligence CMS Medicare Advantage

Medicare Advantage AI under more fire in Washington

(By Rylee Wilson for Becker’s Hospital Review ) New guardrails for Medicare Advantage plans’ use of AI may not be

Eileen Cook February 9, 2024February 9, 2024 AI, CMS, Medicare Advantage, Medicare Advantage Prior Authorization, Older Adults

CMS Health Care Finance Medicare Advantage

Payer execs sweat proposed Medicare Advantage rates

(By Rylee Wilson for Becker’s Hospital Review ) Payer executives are not happy with CMS’ proposed Medicare Advantage rates for

Eileen Cook February 8, 2024February 8, 2024 CMS, Healthcare Costs, Medicare Advantage

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

Income and Assets of Medicare Beneficiaries in 2023

(By Alex Cottrill, Juliette Cubanski, Tricia Neuman, and Karen Smith for The Kaiser Family Foundation Published: Feb 05, 2024) More

Eileen Cook February 7, 2024February 7, 2024 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults