Medicare Advantage profit structure under scrutiny in new report
Photo: Ceciie Arcurs/Getty Images As enrolment in the Medicare Advantage (MA) program grows, so are concerns and uncertainly over the...
medicare
CMS releases Medicare OPPS and ASC proposed rule
Photo: John Fedele/Getty Images The Centers for Medicare and Medicaid Services is proposing actions meant to advance health equity and...
Senate Democrats release plan for Medicare drug negotiations
Photo: John Baggaley/Getty Images Senate Democrats have carved out a deal on legislation that would attempt to lower prescription drug...
OIG says Medicare race data is inaccurate and hinders health disparities assessments
Photo: FG Trade/Getty Images There are significant inaccuracies in Medicare data on race and ethnicity, which is especially troublesome given...
Employers, insurers paid hospitals more than double Medicare rates, finds RAND
Photo: Sam Edwards/Getty Images Employers and health insurers paid hospitals about 224% above what Medicare would have paid in 2020,...
AHIP expresses concerns on CMS’ Final Rate Notice for Medicare Advantage, Part D
Photo: FG Trade/Getty Images The Centers for Medicare and Medicaid Services yesterday released 2023 Medicare Advantage capitation rates and Parts...
CMS releases 2023 Medicare Advantage and Part D Advance Notice
Photo: Cecilie Arcurs/Getty Images On Wednesday the Centers for Medicare and Medicaid Services released proposed payment policy changes for Medicare...
Senators push for Medicare to reimburse at-home COVID-19 tests like commercial insurers
Photo: seksan MonKhonkhamsao/Getty Images A group of mostly Democratic senators is pushing the Biden administration to require that Medicare cover...
Becerra tells CMS to reassess 2022 Medicare Part B premiums
Photo: Drew Angerer/Getty Images Health and Human Services Secretary Xavier Becerra has directed the Centers for Medicare and Medicaid Services...
Medicare Advantage, consolidation drove healthcare insurer trends in 2021
Photo: FG Trade/Getty Images It was difficult to predict trend lines for the payer and health insurance industry in 2021,...
