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CMS says the rule takes initial steps in a larger effort to address what it sees as fraud, waste and abuse.
CMS released 2024 Medicare Advantage Program and Part D Payment policies on Friday.
The group issues recommendations to reduce health disparities and increase access to higher-quality care for underserved populations.
Due to external economic factors, relatively flat margins are likely to continue in the near term, data showed.
AHIP President and CEO Matt Eyles says he fully expects an appeal.
The lawsuit criticizes PBM market consolidation, which has left the three largest PBMs in control of more than 75% of the market.
Senators Cassidy and Merkley contend that MA plans have a financial incentive to make beneficiaries appear sicker than they are.
As chief people officer, McNally will lead HR functions and "drive strategies to optimize employee and business success."
The move is ahead of a final rule that is expected to reduce the time allowed for PA approval and require electronic FHIR API standards.
Key information in clinical decision-making tools needs to be rapidly scanned to be useful at the point of care.