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EnforceMintz — Government Scrutiny of Medicare Advantage Organizations Expected to Continue in 2024
The National Law Review· 6 days agoMedicare Advantage (also known as Medicare Part C) remains a top enforcement priority as evidenced by False Claims Act (FCA) investigations and litigation ...
CMS’ Medicare Advantage Overpayment Rule: Arbitrary, Capricious, and Vacated
The National Law Review· 2 days agoJudge Collyer’s decision vacated the Rule in its entirety, finding that, by effectively imposing a 100% accuracy requirement on the data that Medicare Advantage< ...
CMS Announces Medicare Advantage and Part D Rates for CY 2025
The National Law Review· 2 days agoIn the Advanced Notice, CMS (i) provided notification of the changes it planned to make in the MA...
Blend Extra: Medicare, Cancer Insurance, and More!
TMJ4 Milwaukee· 6 hours agoWith access to dozens of insurance companies and their products, Sovereign Select custom fits your Medicare plans based on your needs!
“Let’s Talk Compliance”: Medicare Advantage: Compliance Issues and Enforcement
The National Law Review· 6 days agoA definition of MA, as well as foundational differences between it and Fee-for-service (FFS) Medicare, otherwise known as “traditional” Medicare. The differences in reimbursement...
Why Medicare Advantage carriers are suing CMS over star ratings
Modern Healthcare· 6 days agoInsurance companies have hit federal agencies with a flurry of lawsuits in recent months over the government’s administration of the Medicare Advantage ...
Medicare's push to improve chronic care attracts businesses, but not many doctors
NPR· 15 hours agoFor patients, the CCM program is intended to expand the type of care offered in traditional,...
EnforceMintz — Tele-Fraud Enforcement in 2023 Remained Focused on Same Schemes as Years Past
The National Law Review· 1 hour agoGovernment enforcement activities focused on tele-fraudsters remained active in 2023, but did not break substantial new ground. Several significant criminal resolutions last year involved allegations ...
Flurry of Medicare Advantage and Part D Changes Includes Significant Policy Shifts
The National Law Review· 5 days agoLast week, CMS released new regulations and guidance for Medicare Advantage Organizations (MAOs) and Part D Sponsors. The policy shifts affect supplemental ...
WellSense prioritizes educating seniors on their health care options
New Hampshire Union Leader· 3 days agoPATRICK MACLEOD, a sales specialist with the WellSense Health Plan, often gets requests for...
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