CMS will raise Medicare Advantage plan payments by 4.08% in 2022

Medicare Advantage insurers plan for bigger footprints, more telehealth

CMS will raise Medicare Advantage plan payments by 4.08%, the agency announced Friday.It also signed off on its controversial proposal to complete a multiyear phase-in of a new payment methodology. The new process will adjust plan payments using diagnoses solely

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A Dozen Facts About Medicare Advantage in 2020

A Dozen Facts About Medicare Advantage in 2020

Medicare Advantage enrollment has grown rapidly over the past decade, and Medicare Advantage plans have taken on a larger role in the Medicare program. This data analysis provides current information and trends about Medicare Advantage enrollment, premiums, and out-of-pocket limits.

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Medicare approves coverage of ‘breakthrough’ medical devices

DOJ accuses Cigna of Medicare Advantage fraud

Medicare will cover all medical devices designated by the Food and Drug Administration as a “breakthrough” technology.The final rule, released Tuesday, will cover the use of a breakthrough device for four years after it receives FDA market authorization. CMS said

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Even With Senate Control, Democrats Will Need Buy-In From GOP on Key Health Priorities

Aunque controlen el Senado, demócratas necesitarán apoyo republicano en temas clave de salud

Democrats have argued for more generous pandemic relief, more pressure on drugmakers to lower prices and more attention to systemic racism in health care. On Jan. 20, with control of the Senate and the House of Representatives, they’ll have the

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Medicare Advantage for All is the better route to universal coverage

Medicare Advantage for All is the better route to universal coverage

President-elect Joe Biden won election with a mandate to continue the healthcare reforms begun by President Barack Obama. On the campaign trail, Biden pledged to protect and build on the Affordable Care Act. Many people have urged Biden to make

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HCA, Christus Health hospitals challenge Medicare DSH payment changes

Regulators delay final updates to self-referral law

A group of 115 HCA Healthcare and Christus Health hospitals sued HHS on Monday to stop the agency from retroactively changing how it calculates Medicare disproportionate share hospital payment adjustments.Although several courts, including the U.S. Supreme Court, have struck down

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Congress recalibrates Medicare Physician Fee Schedule after lobbying

Older adults at 'ground zero' during COVID-19 pandemic

After a lobbying frenzy that pitted primary care providers against specialty physicians, Congress decided to recalibrate the Medicare Physician Fee Schedule in its latest stimulus and government funding bill.CMS decided to give primary care providers a pay boost in the

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Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

Seniors Face Crushing Drug Costs as Congress Stalls on Capping Medicare Out-Of-Pockets

Sharon Clark is able to get her life-sustaining cancer drug, Pomalyst — priced at more than $18,000 for a 28-day supply — only because of the generosity of patient assistance foundations. Clark, 57, a former insurance agent who lives in

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MA Beneficiaries See Nearly 20% Fewer Home Health Days Than Traditional Medicare Peers

Amedisys Floats Future Innovation Plans, Details COVID-19 Costs

Under the Trump administration, federal health care policymakers have long been vocal about the ability of Medicare Advantage (MA) to lower costs and improve outcomes among vulnerable populations. A recent report from the Washington, D.C.-based Better Medicare Alliance (BMA) and

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Congress breaks two-decade freeze on new Medicare GME slots

Congress breaks two-decade freeze on new Medicare GME slots

Lawmakers in a massive year-end spending and COVID-19 relief bill added new Medicare GME slots for the first time in two decades.To curtail Medicare spending, the Balanced Budget Act of 1997 kept the number of medical residents for existing teaching

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