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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...
Elevance exec says Medicaid attrition has changed mix of members
Reuters via AOL· 4 days agoNEW YORK (Reuters) -Elevance Health executive Peter Haytaian said on Wednesday that a decrease in the number of people eligible for its Medicaid plans this year, as well as ...
Ask Kevin: My spouse and I are near 65. Is self-plus-one the best plan?
Federal Times· 5 days agoThe following is a question submitted by a Federal Times reader to columnist Kevin Moss, a senior editor at Consumers’ Checkbook and expert on federal employee health insurance plans for civil ...
$2,000 Cap On Out-Of-Pocket Drug Costs To Help Millions Of Medicare Beneficiaries
Forbes· 4 days agoThe Inflation Reduction Act’s cap of $2,000 on annual out-of-pocket spending on outpatient drugs...
Does Medicare Cover Botox?
US News Health· 5 days agoMedicare only covers Botox if your doctor considers it to be medically necessary treatment for a health condition. "Medicare does not cover cosmetic treatments ...
Humana's (HUM) CenterWell Sets Foot in Asheville With New Centers
Zacks via Yahoo Finance· 5 days agoHumana's (HUM) CenterWell Senior Primary Care announces the opening of two centers in Asheville,...
Does Medicare Cover the Cost of Medical Alert Systems?
US News Health· 4 days agoMedical alert systems are wearable devices that provide emergency monitoring services, such as fall detection and immediate connection to assistance in the event of an urgent situation. Original ...
Monica Treat — Making Medicare Painless
Arkansas Money & Politics· 4 days agoMonica Treat is on a mission to help seniors untangle the Gordian Knot of Medicare. As owner of Treat Insurance Agency, an independent provider of...
Ask Kevin: Due to income, Medicare payment is high. Should I keep it?
Federal Times· 2 days agoMy husband is 80 and is also covered under my FEHB insurance. Due to our income, our Medicare payments will be very high: more than $12,000 per year for the two of us. Is ...