Medicare Advantage – Page 37 – medicarereport.org

A trusted source for Medicare news and education from the AMAC Foundation.

Medicare changes for the new year

January 1st is just around the corner, and many things will change, including Medicare. If you are a Medicare beneficiary

Eileen Cook December 28, 2023December 28, 2023 CMS, Healthcare Costs, medicare, Medicare Advantage, Medicare Part D, Older Adults

CMS Medicare - General Medicare Advantage Part D/Prescription Drugs

Medicare Advantage Open Enrollment starts soon

Annual Medicare Open Enrollment has closed now, so it is time for Medicare Advantage Open Enrollment. What is Medicare Advantage

Eileen Cook December 27, 2023December 27, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Open Enrollment period, Medicare Part D, Older Adults

CMS Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Feds want Humana’s Medicare Advantage clawback lawsuit thrown out

(By Rylee Wilson for Becker’s Hospital Review ) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would

Eileen Cook December 21, 2023December 21, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Claw back

CMS Medicare Advantage

Hospitals ask CMS to add Medicare Advantage denial rates to star ratings

(By Rylee Wilson for Becker’s Hospital Review ) The Federation of American Hospitals is asking CMS to include how often

Eileen Cook December 18, 2023December 18, 2023 CMS, Medicare Advantage, Medicare Advantage Star Ratings

CMS Health Care Finance Health Care Redesign Medicare - General Part D/Prescription Drugs

The New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About

(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of

Eileen Cook December 14, 2023December 14, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Out-of-pocket prescription costs

Artificial Intelligence Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review ) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully

Eileen Cook December 14, 2023December 14, 2023 AI, Care Coordination and Integrated Case Management, Denied Medicare Advantage Claims, Medicare Advantage, nH Predict, Older Adults

CMS Health Care Finance Health Care Redesign Legislative Update Medicare - General Medicare Advantage Part D/Prescription Drugs Price Transparency

Medicare bills pass House committee: 3 things to know

(By Rylee Wilson for Becker’s Hospital Review ) The House Energy and Commerce Committee advanced 19 pieces of legislation Dec.

Eileen Cook December 11, 2023December 11, 2023 Drug price Transparency, Healthcare Costs, medicare, Medicare Advantage, Medicare Advantage transparency, Medicare Part D, PBM

CMS Health Care Finance Medicare Advantage

Is the Medicare Advantage ‘gold rush’ over?

(By Rylee Wilson for Becker’s Hospital Review ) The Medicare Advantage gold rush is slowing down, Wall Street Journal columnist

Eileen Cook December 7, 2023December 7, 2023 CMS, medicare, Medicare Advantage, Medicare Part D, Mergers, Older Adults

CMS DHS -OIG Health Care Finance Medicare Advantage

10 payers audited for Medicare Advantage overpayments in 2023

(By Rylee Wilson for Becker’s Hospital Review ) OIG audits found over $213 million in estimated Medicare Advantage overpayments in

Eileen Cook December 5, 2023December 5, 2023 CMS, DHS -Office of Inspector General, Healthcare Costs, Healthcare Finance, Medicare Advantage, Medicare Advantage Audits, Medicare Advantage Overpayments

DHS -OIG Medicare Advantage

OIG: Centene subsidiary received estimated $5.1M in Medicare Advantage overpayments

(By Rylee Wilson for Becker’s Hospital Review ) SelectCare of Texas, a Centene subsidiary, received an estimated $5.1 million in

Eileen Cook December 4, 2023December 4, 2023 CMS, DHS -Office of Inspector General, Medicare Advantage, Medicare Advantage Overpayments