Tag: Medicare
CMS is releasing Medicare Advantage encounter data for researchers to analyze
The data provides detailed information about services to beneficiaries enrolled in a MA managed plan.
Healthcarecare Finance News Feed
Senate Finance Committee tackles Medicaid, Medicare policy to combat opioid use...
Bipartisan bill is expected after questions are answered by April 26 deadline; Senate HELP committee gets ready to markup Opioid Crisis Response Act.
Healthcarecare Finance...
Humana acquires large Medicare Advantage, managed care physicians group in Florida
The insurer is actively creating a network of high-performing, senior-focused primary care physicians.
Healthcarecare Finance News Feed
Aetna whistleblower accuses CVS Health’s Caremark of fraud in Medicare Part...
In commercial contracts Caremark kept the spread between the price it negotiated with the pharmacies and what it charged its PBM customers, lawsuit claims.
Healthcarecare...
Medicare program linked with reduced readmissions disparities between black and white...
Prior to the program's start, there was evidence that black patients had, on average, 20 percent higher readmission rates than white patients.
Healthcarecare Finance News...
Star ratings jump strengthens enrollment, performance of Medicare Advantage plans
MA star ratings improvements can help plans expand their share of an increasingly saturated market.
Healthcarecare Finance News Feed
Medicare Advantage plans get a rate increase in Centers for Medicare...
CMS is also increasing the percent of encounter data in risk scores, a move opposed by stakeholders.
Healthcarecare Finance News Feed
Federal judge orders American Hospital Association to submit ways HHS can...
AHA and three of its member hospitals had sued HHS due to the long delay in processing claims appeals.
Healthcarecare Finance News Feed
AHIP asks CMS to change Medicare Advantage payment formula
The Centers for Medicare and Medicaid Services should update its county benchmark calculation in the 2019 final notice being published Monday, April 2, AHIP...
New Mexico hospitals benefit from recent Medicare changes, analysis shows
The study contradicts assertions by some hospitals that the new payment system and changes to the 340B drug discount program would bring drastic cuts...
- Advertisement -
