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10% of Medicare beneficiaries have a claim denied. Here's how to appeal a decision
Fortune· 2 hours agoThe good news: if you are denied coverage by Medicare, you have the right to appeal the decision. Here’s everything you need to know to appeal a Medicare
When ‘Prior Authorization’ Becomes a Medical Roadblock
New York Times· 4 days agoMedicare Advantage plans say it reduces waste and inappropriate care. Slowly but steadily, Marlene...
Janie Slaven: TONI SAYS: Why is Medicare Part D's IRMAA premium so high?
The Times-Tribune, Corbin, Ky. via Yahoo Finance· 5 days agoMay 24—Dear Toni: I am turning 65 in June, self-employed, and my income together with my wife's is over $300,000. Recently I received a letter from Social Security telling me that my monthly ...
CVS seeks investor to back new Oak Street clinics
Crain s Chicago Business· 6 days agoClinics like the ones operated by Oak Street focus on serving seniors in privately managed Medicare plans. A joint-venture could help house some of the losses related to investing ...
Provider, payer contract disputes are heating up
Modern Healthcare· 6 days agoIn addition, they are fed up with increased payer denials and years of low reimbursement rates, and in some cases, are choosing to cancel contracts altogether. Payers are seeing their medical ...
More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told
MedPage Today· 6 days ago"One of the biggest things to keep us in business is just updating the [Medicare] Physician Fee...
Back to the Future: HHS Publishes ACA Section 1557 Nondiscrimination Final Rule Similar to 2016-Era...
JD Supra· 5 days agoOn May 6, 2024, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) and the Centers for Medicare and Medicaid Services...
Opinion: Most older Americans who need hearing aids don't use them. Here's how to change that
Los Angeles Times· 6 days agoHaving depended on hearing aids for nearly three decades, I’m astounded by the lack of Medicare...
CBO testimony blames physician employment for rising costs
Becker's ASC Review· 5 days agoChapin White, director of health analysis for the Congressional Budget Office, delivered testimony May 23 in the U.S. House of Representatives Committee on Ways and Means subcommittee about ...
California’s Office of Health Care Affordability Kicks into Action: Are Organizations Ready for...
The National Law Review· 20 hours agoCalifornia’s Health Care Affordability Board (the “Board”)—part of the state’s Office of Health Care...
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