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Medicare Advantage plan sellers fight CMS agent pay cap in court
BenefitsPRO· 22 minutes agoThe plaintiffs predict in three separate suits that plan distribution channels will break down if...
SCAN wins Medicare Advantage star ratings lawsuit against CMS
Modern Healthcare· 2 days agoSCAN Health Plan has prevailed in a widely watched federal lawsuit brought last year against the Centers for Medicare and Medicaid Services that alleged regulators did not ...
CMS Proposes New Payment Model for Some Kidney Transplant Programs | JD Supra
JD Supra· 2 days agoThe IOTA Model aims to test whether performance-based incentive payments to selected kidney transplant hospitals would increase access to kidney transplants for people living ...
CMS Releases Fifth Annual Report on Bundled Payments for Care Improvement Advanced Model | JD Supra
JD Supra· 2 days agoOn May 29, 2024, CMS released its fifth annual report evaluating the Bundled Payments for Care Improvement Advanced Model (BPCI Advanced Model). The BPCI ...
Medicare set-aside reporting rule signals major change for comp - Business Insurance
Business Insurance· 1 day agoEmployers, insurers and claimants should start planning for changes to how Medicare’s liabilities...
Medicare Advantage Boom: Soaring Costs & Unclear Quality
TheStreet.com· 3 days agoThe Medicare Rights Center submitted comments on May 29 in response to a Centers for Medicare & Medicaid Services (CMS) Request for Information ...
NC regulators give OK to Asheville's Mission/HCA; hospital was sanctioned after deaths
Gannett via AOL· 2 days agoDepartment of Health and Human Services has sent their recommendation to CMS and we are awaiting...
...Warns of Anti-Competitive Behavior by Massive Insurance Companies in Medicare Advantage That...
Sierra Sun Times· 3 days agoSenator Elizabeth Warren (D-Mass.) sent a letter to Chiquita Brooks-LaSure, the Administrator of the Centers for Medicare and Medicaid Services (CMS), responding ...
Scan Health Plan wins Medicare Advantage star ratings lawsuit
Healthcare Dive via Yahoo Finance· 2 days agoThe insurer argued the CMS didn’t follow its stated methodology for calculating the quality scores,...
Provider Impacts from Recent Health Care Cyberattacks
Reuters· 5 days agoOn February 21, 2024, Change Healthcare experienced a cyberattack that forced the company to disconnect its systems, which then paused pharmacy functions, claims processing, and payments ...