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The deal spans 13 states and includes certain patient service centers and in-office phlebotomy locations.
It would require MA plans to reimburse for items and services at least what would have been paid under original Medicare.
The pledge is part of a recent series of commitments made by health plans to overhaul prior authorizations.
Ninety percent of beneficiaries lived in a county where at least 50% were in plans sponsored by one or two insurers in 2024.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
An investigation by HRSA revealed what the agency called “concerning features” that raised legal and ethical concerns.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.
The idea is to help organizations create an “on-ramp” for long-term employee wellness, Teladoc says.
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
Early indications are that premiums are increasing by a median of 15%, though filings are still preliminary.