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1. • HHS OIG Introduces Managed Care Strategic Plan

     The National Law Review· 5 days ago

     In August, the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) introduced a new “Strategic Plan for Oversight of Managed Care ...

2. • CMS Finalizes CY 2025 Medicare Advantage Rule, Confirming Continued Focus on Marketing Practices and...

     JD Supra· 3 days ago

     Medicare & Medicaid Services (CMS) issued the Contract Year (CY) 2025 Medicare Advantage (MA) Final Rule (Final Rule), which will have significant implications ...

3. • 

     New Jersey’s Organized Delivery Systems Law Presents Unique Challenges for Value-Based Care | New...

     Law.com· 12 hours ago

     If nothing else, the tremendous growth of New Jersey’s health care systems has facilitated the...

4. • 

     Elevance Health (ELV) Q1 2024 Earnings Call Transcript

     Motley Fool via Yahoo Finance· 9 hours ago

     Importantly, we have worked closely with these companies and their management teams and are...

5. • 

     Lilly’s weight-loss drug reduces sleep apnea severity in late-stage trials

     NY Post via Yahoo News· 6 hours ago

     Eli Lilly (LLY.N), opens new tab said on Wednesday its weight-loss drug helped reduce episodes of...

6. • CMS’ Medicare Advantage Overpayment Rule: Arbitrary, Capricious, and Vacated

     The National Law Review· 3 days ago

     Judge Collyer’s decision vacated the Rule in its entirety, finding that, by effectively imposing a 100% accuracy requirement on the data that Medicare Advantage organizations ...

7. • Re: Medicare Supplemental Rate Actions 2024 - Q1

     AARP· 2 days ago

     The United Health Care AARP supplemental G plan went up 13% for 2024. There are other G plans out there that offer the same coverage but with a much lower premium. There may ...

8. • Report: States should prioritize reinsurance over public option plans - Business Insurance

     Business Insurance· 7 days ago

     A new report from the Partnership for America's Health Care Future, a group opposing Medicare for All, suggests states should focus on reinsurance programs rather than public ...

9. • CMS Issues CY2025 Medicare Advantage and Part D Final Rule | JD Supra

     JD Supra· 3 days ago

     According to CMS’ Fact Sheet, the Final Rule builds on existing Biden-Harris Administration policies to strengthen protections and guardrails, promote healthy competition, and ensure

10. • New Compliance Obligations for PACE Organizations Coming in 2025 | JD Supra

      JD Supra· 19 hours ago

      The final rule includes significant changes for Medicare Advantage plans, including revisions to permissible payment structures for agents and brokers, supplemental benefits ...