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CMS recalculates Medicare Advantage star ratings in major win for insurers
Healthcare Dive· 15 hours agoThe CMS has recalculated plans’ quality ratings in the Medicare Advantage program after a series of court rulings challenging the agency’s methodology in ...
Medicare Will Recalculate Quality Ratings of Medicare Advantage Plans, WSJ Reports
US News & World Report· 1 day agoThe move could deliver hundreds of millions in additional bonus payments to insurers next year, benefiting Medicare insurers at a time when their business is under pressure from rising healthcare ...
Medicare will recalculate quality ratings of Medicare Advantage Plans, WSJ reports
Reuters· 1 day agoThe federal government plans to redo this year's quality ratings of private Medicare plans, the Wall Street Journal reported on Thursday, citing people familiar with the matter. The move could ...
Traditional Medicare or Medicare Advantage? Some retirees aren’t allowed to choose
Fortune· 5 days agoInstead, they’re told they can enroll only in a Medicare Advantage plan, with its limited network of doctors and hospitals, even if they ...
Ask Kevin: I enrolled in a Medicare Advantage plan. Can I switch back?
Federal Times· 4 days agoWhen I retired, my wife and I were covered by GEHA and Medicare. In January 2025, I switched to the GEHA/United Health Care Medicare Advantage ...
OIG Testimony Puts a Spotlight on Clinical Documentation and Payer Risk | JD Supra
JD Supra· 17 hours agoGrimm, Inspector General of the Department of Health and Human Services (HHS) discussed critical issues surrounding risk adjustment in Medicare Advantage
Ask Kevin: What can a Medicare Advantage plan do for someone in IRMAA?
Federal Times· 2 days agoAre there significant costs that Medicare Advantage plus VA covers that is significantly better than FEHB plus VA coverage? The only thing I could think ...
CHI Memorial And BlueCross Reach Agreement Except For Network S
The Chattanoogan· 4 hours ago...Memorial announced Friday that it has reached a new agreement with BlueCross BlueShield of Tennessee (BCBST) that will allow BCBST-insured patients with Network P, Medicare Advantage, and Medicaid to maintain in-network access to CHI Memorial physicians, nurses, services, and hospitals, including...
5 takeaways from the AHIP 2024 conference
Modern Healthcare· 22 hours agoAHIP President and CEO Mike Tuffin made a plea for enhanced federal support for Medicare Advantage, which emerged as a trouble spot for health insurance ...
Elevance nabs win in Medicare Star Ratings lawsuit
Modern Healthcare· 4 days agoSCAN Health Plan won a similar case before the same court last week. The U.S. District Court for the District of Columbia decision in the Elevance Health...
