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Elevance nabs win in Medicare Star Ratings lawsuit
Modern Healthcare· 4 days agoThe Centers for Medicare and Medicaid Services must recalculate Anthem Blue Cross and Blue Shield of Georgia’s Medicare Advantage star ...
Telehealth executives accused of $100m Adderall scheme
BBC via AOL· 7 hours agoOfficials say they continued the illegal scheme "even after being made aware that material was...
Got Questions About Medicare Hospice Services? Here Are Some Answers
Forbes· 3 days agoThere is one subject that rarely comes up when it comes to Medicare: hospice, end-of-life care for...
Second Annual CMS Health Equity Conference: Key Takeaways | JD Supra
JD Supra· 4 days agoThe Centers for Medicare & Medicaid Services (CMS) recently hosted its second annual CMS Health Equity Conference on May 29 – 30, 2024, focusing on the ...
Top 10 Comments on Proposed Mandatory Episode-Based Payment Model, TEAM | JD Supra
JD Supra· 1 day agoPublic comments on the Centers for Medicare & Medicaid Services (CMS) Fiscal Year 2025 Inpatient Prospective Payment System (IPPS) proposed regulation were ...
Hawaii's Medicaid coverage for palliative care expected to save the state money
The Center Square· 4 days agoDHS spokesperson Amanda Stevens told The Center Square that including palliative care in the state’s...
State doubles down on denying Cook Children’s Health Plan Medicaid contract
Dallas Morning News· 3 days agoThe state has once again denied Cook Children’s Health Plan’s bid to secure a major Medicaid...
Elevance exec says Medicaid attrition has changed mix of members
Reuters· 2 days ago, opens new tab executive Peter Haytaian said on Wednesday that a decrease in the number of people eligible for its Medicaid plans this year, as well as changes the company ...
Biden’s new staffing requirements put most Illinois nursing homes in peril
The Center Square· 4 days agoThe mandate requires that all nursing homes that receive Medicare and Medicaid funding provide a...
Insurers Still Losing in Surprise Billing Arbitration, Data Show
Bloomberg Law· 13 hours agoMedical providers continue to beat out insurers in most surprise billing arbitration disputes, often pocketing awards of at least double the in-network rate for a given service, according to ...