DOGE officials home in on Medicare, Medicaid offices
Representatives of billionaire Elon Musk’s Department of Government Efficiency (DOGE) have turned their focus to the Centers ...
Health Affairs2d
Are Medicare Fee Schedules Appropriate For Commercial Populations?
The difficulty that stakeholders face in comparing contracts with different structures could be solved by a standardized ...
Medicare Advantage Plans: Prior Authorization Denial Rates
Will your care be denied? Medicare Advantage insurers use prior authorization to manage utilization and lower costs. How to compare plans during open enrollment.
Commonwealth Fund1d
Do Medicare Advantage Provider Networks Change the Way Beneficiaries Use Health Care?
Medicare Advantage plans are popular, but some have limited provider networks, while and others require high cost sharing for ...
Trump handed 'opportunity to save Medicare’ after Biden admin’s final blow to seniors: expert
President Donald Trump was handed an opportunity to "save" Medicare Advantage after the Biden administration's final proposal ...
Health Affairs4d
Improving Medicare Advantage By Accounting For Large Differences In Upcoding Across Plans
Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...
Alaska Public Media3d
Why is it so hard for Alaskans on Medicare to find health care providers?
Older Alaskans struggle to find primary care providers and specialists. And, as the demographic grows, the issue is likely to ...
Jacksonville Journal-Courier on MSN7hOpinion
Commentary: Medicare coverage for genetic testing on chopping block — Jessica Towhey
Bladder cancer is not the only cancer affected by the rule. Patients diagnosed with pancreatic, skin and thyroid cancers ...
Skilled Nursing News2d
Mismatched Medicaid: Rates Inadequate for Costly Nursing Home Care, With Closures Feared in NY
Some nursing homes in New York may be forced to close their doors without an increase in Medicaid funding, a dire warning as the state legislature starts ...
Modern Healthcare4d
Hospitals seek post-acute partners for Medicare TEAM demo
Medicare's mandatory TEAM demonstration for surgical care requires coordination between hospitals and post-acute care ...
With federal funding in limbo, CT Dems propose Medicaid expansion
CT Dems unveiled a $250M plan to raise Medicaid reimbursement rates, saying ‘we can’t stop doing our jobs’ amid federal ...
The Reality Behind Medicare Advantage Prior Authorizations
Prior authorizations are the way MA managed care plans pre-approve some procedures before they’ll pay for them.