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Bipartisan prior authorization legislation introduced - Roll Call
CQ Politics· 5 days agoTwo key lawmakers reintroduced a bill on Wednesday that would essentially codify parts of a Biden...
BlueCross and Memorial reach deal to keep Medicare Advantage and others in insurance networks |...
Chattanooga Times Free Press· 3 days agoThe agreement between the Chattanooga-based BlueCross and CHI Memorial allows BlueCross members...
CMS to rework quality ratings for Medicare Advantage plans
Reuters via AOL· 3 days agoUnitedHealth, Humana and other insurers offer Medicare Advantage plans under which they are paid a set rate by the government to manage healthcare for people ...
Federal Government to revise Medicare Advantage Plans ratings
Investing.com via Yahoo Finance· 4 days agoInvesting.com - The US federal government is set to revise this year's quality ratings of private Medicare plans, according Wall Street Journal report.
Here are four reasons Medicare drug-price 'negotiation' in NJ isn't truly a negotiation.
App.com | Asbury Park Press via Yahoo News· 4 days agoFor 2024, New Jersey seniors had access to about 20 standalone Medicare Part D prescription drug...
State retirees deserve better than Tim Moore, the legislature are offering | Opinion
Durham Herald-Sun McClatchy via AOL· 1 day agoWe have all been experiencing higher prices at the grocery store, gas pump and more. Recently, state...
Ask Kevin: I enrolled in a Medicare Advantage plan. Can I switch back?
Federal Times· 7 days agoTimes reader to columnist Kevin Moss, a senior editor at Consumers’ Checkbook and expert on federal employee health insurance plans for civil servants, retirees and their families. When I retired ...
What Is the National Committee for Quality Assurance (NCQA)?
Investopedia· 3 days agoThe National Committee for Quality Assurance (NCQA) is an independent nonprofit organization that...
OIG Testimony Puts a Spotlight on Clinical Documentation and Payer Risk | JD Supra
JD Supra· 3 days agoGrimm, Inspector General of the Department of Health and Human Services (HHS) discussed critical issues surrounding risk adjustment in Medicare Advantage
Elevance wins star ratings lawsuit (sort of)
Healthcare Dive via Yahoo Finance· 6 days agoFriday’s district court ruling is the latest suggesting the CMS might have to recalculate every MA plan’s star rating score due to an administrative...