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1. • 

     When ‘Prior Authorization’ Becomes a Medical Roadblock

     New York Times· 6 days ago

     Medicare Advantage plans say it reduces waste and inappropriate care. Slowly but steadily, Marlene...

2. • 

     10% of Medicare beneficiaries have a claim denied. Here’s how to appeal a decision

     Fortune via Yahoo Finance· 1 day ago

     You can ask for an expedited request if your plan or prescriber determines that waiting for a...

3. • Janie Slaven: TONI SAYS: Why is Medicare Part D's IRMAA premium so high?

     The Times-Tribune, Corbin, Ky. via Yahoo Finance· 6 days ago

     May 24—Dear Toni: I am turning 65 in June, self-employed, and my income together with my wife's is over $300,000. Recently I received a letter from Social Security telling me that my monthly ...

4. • Providers want better Medicare Advantage prior auth data

     Becker’s Hospital Review· 2 days ago

     The Medical Group Management Association said that as the number of Medicare Advantage beneficiaries continues to grow, "it is imperative that the MA program ...

5. • 

     8 Ways To Get Free Items From Pharmacies

     GOBankingRates via Yahoo Finance· 12 hours ago

     Americans are spending increasingly more on healthcare costs that their health plans don't cover every year. In fact, Americans' out-of-pocket spending...

6. • CBO testimony blames physician employment for rising costs

     Becker's ASC Review· 7 days ago

     Chapin White, director of health analysis for the Congressional Budget Office, delivered testimony May 23 in the U.S. House of Representatives Committee on Ways and Means subcommittee about ...

7. • Back to the Future: HHS Publishes ACA Section 1557 Nondiscrimination Final Rule Similar to 2016-Era...

     JD Supra· 7 days ago

     On May 6, 2024, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) and the Centers for Medicare and Medicaid Services...

8. • 

     CVS Health Seeks Private Equity Partner for Oak Street Health Expansion

     Benzinga via AOL· 6 days ago

     The company is working with financial advisers to secure capital for new Oak Street clinics and is...

9. • 

     California’s Office of Health Care Affordability Kicks into Action: Are Organizations Ready for...

     The National Law Review· 2 days ago

     California’s Health Care Affordability Board (the “Board”)—part of the state’s Office of Health Care...

10. • JD Supra: Manatt Health: Health AI Policy Tracker

      JD Supra· 6 days ago

      The purpose of this quarterly tracker is to identify key federal and state health AI policy activity. Below reflects federal legislative and regulatory activity to date related to AI, and state ...