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publication date

Payer
Data on Medicare Advantage Supplemental Benefits Limited for CMS
Jay Asser | February 03, 2023
A report investigates the information the federal agency has on enrollees' utilization of Medicare Advantage (MA) supplemental benefits.
Post-Acute
CMS Assessing Schizophrenia Coding, Publicly Displaying Citations Under Dispute for Nursing Homes
Jasmyne Ray | February 03, 2023
The additional measures are part of the Biden Administration's efforts to increase accountability for nursing homes.
Pharma
Senate Presses CMS for Updates on Pharma Price-Gouging Penalties
John Commins | February 02, 2023
The IRA provisions took effect for Medicare Part B drugs on October 1, 2022, and for Part D drugs on...
Payer
Payers Frustrated by CMS' Medicare Advantage Audit Rule to Recoup Overpayments
Jay Asser | February 01, 2023
The federal agency will likely claim back billions of dollars in overpayments from health insurers that operate Medicare Advantage plans.
Payer
Government Lets Health Plans That Ripped Off Medicare Keep the Money
Kaiser Health News | February 01, 2023
Payers have long feared CMS would demand repayment of billions of dollars in overcharges.
Payer
Biden-Harris Administration proposes new rules to expand access to birth control coverage under the Affordable Care Act
CMS.gov | January 30, 2023
Today, the U.S. Department of Health & Human Services (HHS) and the Departments of Labor and the Treasury (Departments) proposed...
Revenue Cycle
Coverage of certain preventive services under the Affordable Care Act: Proposed rules
CMS.gov | January 30, 2023
On January 30, 2023, the Department of Health and Human Services (HHS), the Department of Labor, and the Department of...
Technology
CMS Improves Medicaid Reimbursement for Digital Health Consults
Eric Wicklund | January 30, 2023
The Centers for Medicare & Medicaid Services has issued guidance changing Medicaid and CHIP coverage for eConsults, or provider-to-provider specialty...
Pharma
FDA Rejects Fast-Track Approval of Eli Lilly's New Alzheimer's Drug
John Commins | January 20, 2023
Regulators want more evidence that the pricey drug works.
Revenue Cycle
A 600% Increase: No Surprises Act IDR Process is Officially Draining Your Rev Cycle's Bottom Line
Amanda Norris | January 19, 2023
The independent dispute resolution (IDR) process has gotten more expensive for healthcare organizations?by 600%.
Payer
Medicare Advantage Grows to 30M Enrollees
Jay Asser | January 19, 2023
More people than ever have enrolled in the program, which makes up nearly half of all Medicare beneficiaries.
Revenue Cycle
Hospitals, others can apply for grants to prevent, treat opioid use disorders
American Hospital Association | January 18, 2023
Nonprofit hospitals and emergency departments, including free standing EDs and Rural Emergency Hospitals, can apply through March 6 for up...
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