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10% of Medicare beneficiaries have a claim denied. Here’s how to appeal a decision
Fortune via Yahoo Finance· 5 hours agoYou can ask for an expedited request if your plan or prescriber determines that waiting for a...
When ‘Prior Authorization’ Becomes a Medical Roadblock
New York Times· 4 days agoMedicare Advantage plans say it reduces waste and inappropriate care. Slowly but steadily, Marlene...
Janie Slaven: TONI SAYS: Why is Medicare Part D's IRMAA premium so high?
The Times-Tribune, Corbin, Ky. via Yahoo Finance· 5 days agoMay 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 ...
Provider, payer contract disputes are heating up
Modern Healthcare· 6 days agoIn addition, they are fed up with increased payer denials and years of low reimbursement rates, and in some cases, are choosing to cancel contracts altogether. Payers are seeing their medical ...
CVS seeks investor to back new Oak Street clinics
Modern Healthcare· 6 days agoHumana Inc. and Welsh Carson Anderson & Stowe teamed up in 2020 and 2022 to develop primary care clinics. The Medicare Advantage business ...
More Money, Fewer Prior Auths Needed to Save Private Practices, Lawmakers Told
MedPage Today· 7 days ago"One of the biggest things to keep us in business is just updating the [Medicare] Physician Fee...
Back to the Future: HHS Publishes ACA Section 1557 Nondiscrimination Final Rule Similar to 2016-Era...
JD Supra· 6 days agoOn May 6, 2024, the Department of Health and Human Services (“HHS”) Office for Civil Rights (“OCR”) and the Centers for Medicare and Medicaid Services...
California’s Office of Health Care Affordability Kicks into Action: Are Organizations Ready for...
The National Law Review· 23 hours agoCalifornia’s Health Care Affordability Board (the “Board”)—part of the state’s Office of Health Care...
Opinion: Most older Americans who need hearing aids don't use them. Here's how to change that
Los Angeles Times· 6 days agoHaving depended on hearing aids for nearly three decades, I’m astounded by the lack of Medicare...
CVS Health Seeks Private Equity Partner for Oak Street Health Expansion
Benzinga via AOL· 5 days agoThe company is working with financial advisers to secure capital for new Oak Street clinics and is...
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