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Friday, September 11, 2026

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CMS DHS -OIG Medicare - General Part D/Prescription Drugs

Eileen Cook January 5, 2023January 5, 2023 CMS, DHS -Office of Inspector General, medicare, Medicare Part B Drug payment calculations, Oversight

CMS needs to improve oversight of Medicare Part B drug payment calculations, OIG report finds

(By Jakob Emerson for Becker’s Hospital Review ) CMS needs better strategies to ensure proper oversight of Medicare Part B

CMS Health Care - General Health Insurance Medicare - General

Arlene Sharp December 20, 2022December 20, 2022 CMS, medicare, Older Adults

Medicare Pay Cuts Will Hurt Seniors’ Care, Doctors Argue

By Michael McAuliff for Kaiser Health News on December 20, 2022 Doctors are urging Congress to call off cuts scheduled

CMS Medicare Advantage Mental Health/Behavioral Health Part D/Prescription Drugs

Eileen Cook December 16, 2022December 16, 2022 Behavioral Health, CMS, HHS, Medicare Advantage, Medicare Part D

HHS Proposes Rule to Strengthen Beneficiary Protections, Improve Access to Behavioral Health Care, and Promote Equity for Millions of Americans with Medicare Advantage and Medicare Part D

(Source - www.cms.gov) The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services

Affordable Care Act (ACA)CMS

Eileen Cook December 14, 2022December 14, 2022 ACA, CMS

CMS proposes new rule for ACA plans: 5 things to know

(By Rylee Wilson for Becker’s Hospital Review ) CMS is proposing a new rule to streamline options on the ACA

Accountable Care Organizations (ACO)CMS Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook December 13, 2022December 13, 2022 ACO REACH program, CMS, Fraud and Abuse, Medicare Advantage

Lawmakers concerned over payers with Medicare Advantage fraud allegations participating in ACO model

(By Rylee Wilson for Becker’s Hospital Review ) A group of Democratic senators and representatives are concerned about organizations with

CMS DHS -OIG Illegal Activities Medicare Advantage Medicare Fraud; Illegal Activities

Eileen Cook December 12, 2022December 12, 2022 CMS, DHS-OIG, GAO, Medicare Advantage, Medicare Fraud

How Medicare Advantage plans dodged auditors and overcharged taxpayers by millions

(By Fred Schulte and Holly K. Hacker for NPR) In April 2016, government auditors asked a Blue Cross Medicare Advantage

Dental/Oral Health Medicare - General

Eileen Cook December 9, 2022December 9, 2022 CMS, Dental, medicare

How the 2023 Medicare Physician Fee Schedule Final Rule Changes Medicare Coverage of Dental Services

(By Meredith Freed, Tricia Neuman, and Juliette Cubanski for the Kaiser Family Foundation Published: Dec 08, 2022) The 2023 Medicare

Alzheimer’s/Dementia

Gerry Hafer December 1, 2022December 1, 2022 Alzheimer’s, CMS, Dementia

Lecanemab approval being pursued for Alzheimer’s Treatment

Japan-based pharmaceutical company Eisai Co., Ltd. recently anno0unced plans to seek full approval for its Alzheimer’s treatment drug lecanemab, a

CMS Medicare Advantage

Eileen Cook November 18, 2022November 18, 2022 CMS, Extra Benefits, Medicare Advantage, Medicare Advantage Dental benefits, Medicare Advantage Fitness benefit, Medicare Advantage Hearing, Medicare Advantage Vision care

Extra Benefits Offered by Medicare Advantage Firms Vary

(By Jeannie Fuglesten Biniek, Nolan Sroczynski, Meredith Freed, and Tricia Neuman for Kaiser Family Foundation Published: Nov 16, 2022) Medicare

Accountable Care Organizations (ACO)CMS Medicare - General

Eileen Cook November 9, 2022November 9, 2022 Accountable Care Organizations, CMS, Specialty care, Value-based senior care

CMS doubles down on value-based payments for specialty care: 4 things to know

(By Rylee Wilson for Becker’s Hospital Review ) CMS wants all traditional Medicare beneficiaries and most Medicaid beneficiaries in accountable