Medicare Program - Latest Medicare and Medicare News - Latest News on the Medicare Advantage Program

CMS will close similar plans (any Medicare Advantage plan with more than 80% of a doubly eligible population) in 2023, and those enrolled will move to D-SNP. This impending change has helped drive insurers' interest in these plans, Phillips…
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Dialysis providers saw a change in the payment model for treating Medicare patients when CMS instituted the prospective payment system in 2011. The pooling of payments to providers streamlined spending for a costly federal-funded…
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The impetus to fix the prior authorization is being generated following a report from the Inspector General's Department of Health and Human Services (OIG) showing that Medicare Advantage plans delayed and denied patients access to…
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Something strange happened between the time Linda Griffith enrolled in a new Medicare prescription drug plan during the enrollment period last fall and when she tried to fill out her first prescription in January. He chose a Humana drug…
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For Medicare beneficiaries who are wondering if their Part B premiums could be reduced, the wait continues. More than three months after Secretary of Health and Human Services Xavier Becerra ordered a reassessment of this year's standard…
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Medicare pay cuts will have a disproportionate impact on small rural hospitals and the cuts will soon be deeper. A 1% reduction in all Medicare kidnapping payments began on April 1, after Congress suspended the program during the COVID-19…
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Melvin Monroe has always known that if circumstances changed, his older sister would gladly take care of him. Eloise Crump has always cared for her, this fiery woman who taught in Hillsborough County schools for 30 years and seemed to find…
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Nearly two weeks after Medicare and Medicaid Service Centers (CMS) announced a 4.6% cut in the patient-driven payment model, administrator Chiquita Brooks-LaSure doubled the schedule for these cuts by to the industry, saying the agency’s…
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Mary Caravella says that on her Medicare wellness exam on March 4, she had fifteen minutes of face-to-face time with her doctor. “When we received the bill I was amazed,” Caravella said. "I didn't take a physical exam or anything," he…
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According to a government report released last week, healthcare companies offering Medicare Advantage plans inadequately denied services and payments at a rate that may seem alarming during a one-week trial period in 2019. Companies, many…
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