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CMS recalculates Medicare Advantage star ratings in major win for insurers
Healthcare Dive via Yahoo Finance· 4 days agoThe redo comes after regulators lost two court cases over the methodology used to determine 2024’s...
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 ...
CMS to rework quality ratings for Medicare Advantage plans
Reuters via AOL· 4 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 ...
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...
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...
The 7 best hearing aids for tinnitus, according to audiologists
Yahoo Life Shopping· 6 hours agoFrequently asked questions Does Medicare cover hearing aids? No, Medicare does not cover the cost of...
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...
Health Care Week in Review: House and Senate Reintroduced MA Prior Authorization Bill, and House E&C...
JD Supra· 9 hours agoBelow is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and guidance;...
Here are four reasons Medicare drug-price 'negotiation' in NJ isn't truly a negotiation.
App.com | Asbury Park Press via Yahoo News· 5 days agoFor 2024, New Jersey seniors had access to about 20 standalone Medicare Part D prescription drug...
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