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5 takeaways from the AHIP 2024 conference
Modern Healthcare· 6 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 ...
CMS recalculates Medicare Advantage star ratings in major win for insurers
Healthcare Dive via Yahoo Finance· 6 days agoThe redo comes after regulators lost two court cases over the methodology used to determine 2024’s...
Elevance, Aetna among insurers to benefit from higher star ratings
Modern Healthcare· 6 days agoThe agency's pivot on the star ratings could shake up competition in Medicare Advantage next year. Not only will some insurers pocket extra revenue this ...
25 Things To Sell When You’re Ready To Retire
GOBankingRates via Yahoo Finance· 1 hour agoMany people downsize in retirement as a way to cut back on expenses and make their lives simpler. For some, this means relocating to a smaller home or a...
BlueCross and Memorial reach deal to keep Medicare Advantage and others in insurance networks |...
Chattanooga Times Free Press· 6 days agoThe agreement between the Chattanooga-based BlueCross and CHI Memorial allows BlueCross members...
What Is the National Committee for Quality Assurance (NCQA)?
Investopedia· 6 days agoThe National Committee for Quality Assurance (NCQA) is an independent nonprofit organization that...
CMS to rework quality ratings for Medicare Advantage plans
Reuters via AOL· 6 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 ...
Final Section 1557 Rules: Highlights for Health Plan Sponsors | JD Supra
JD Supra· 16 hours agoThe new rules apply to certain group health plans, as well as many health care providers. The nondiscrimination rules apply to employer-sponsored group health plans that receive funding from ...
Federal Government to revise Medicare Advantage Plans ratings By Investing.com
Investing.com· 7 days agoFederal Government to revise Medicare Advantage Plans ratings
OIG Testimony Puts a Spotlight on Clinical Documentation and Payer Risk | JD Supra
JD Supra· 6 days agoGrimm, Inspector General of the Department of Health and Human Services (HHS) discussed critical issues surrounding risk adjustment in Medicare Advantage
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