Medicare & Medicaid

A Texas judge vacated a 2024 final rule that would have limited payment to third-party administrators who help MA marketers.

The court says it lacks the ability to ‘second-guess’ CMS’ data collection and scoring methodology.

Overall customer satisfaction with Medicare Advantage plans is 623 (on a 1,000-point scale), down 29 points from a year ago.

There are almost no indicators that healthcare utilization is increasing more than 1% year-over-year, says analytics expert.

Hospitals have four months to prepare, says former VA secretary who serves on the board of Sanford Health.

Congress has only 48 days to avert a telehealth shutdown in Medicare, says ATA Action and 350 stakeholders.

Tackle managed care contracts, be more efficient, get back to the basics but be aggressive, says LCMC chief revenue officer.

Kaiser is facing the same “shifting landscape” of other hospitals including reduced healthcare coverage under the reconciliation bill, CEO says.

The ruling dismisses a case brought by several chambers of commerce and their drug manufacturer members.

Real-world encounter data shows MA enrollees have more chronic conditions and greater social risk factors than those in original Medicare, says Inovalon's VP of research science and advanced analytics, Christie Teigland.