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5 takeaways from the AHIP 2024 conference
Modern Healthcare· 4 days 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· 7 days agoThe Centers for Medicare and Medicaid Services must recalculate Anthem Blue Cross and Blue Shield of Georgia’s Medicare Advantage star ratings, a federal ...
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 ...
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...
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...
Ask Kevin: What can a Medicare Advantage plan do for someone in IRMAA?
Federal Times· 5 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 ...
What Is the National Committee for Quality Assurance (NCQA)?
Investopedia· 4 days agoThe National Committee for Quality Assurance (NCQA) is an independent nonprofit organization that...
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...
Federal Government to revise Medicare Advantage Plans ratings By Investing.com
Investing.com· 4 days agoFederal Government to revise Medicare Advantage Plans ratings
OIG Testimony Puts a Spotlight on Clinical Documentation and Payer Risk | JD Supra
JD Supra· 4 days agoGrimm, Inspector General of the Department of Health and Human Services (HHS) discussed critical issues surrounding risk adjustment in Medicare Advantage