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Medicare & Medicaid

By Susan Morse | 01:47 pm | November 27, 2018
Medicare Advantage, managed Medicaid and provider-sponsored plans, represent the bulk of the SMB market.
By Susan Morse | 06:57 pm | November 26, 2018
CMS is proposing to give Medicare Part D drug plans flexibility to negotiate discounts for drugs in "protected" therapeutic classes.
By Susan Morse | 04:33 pm | November 26, 2018
This year, 1.92 million people have selected plans, compared to 2.27 million last year when open enrollment began a day earlier.
By Susan Morse | 02:29 pm | November 21, 2018
After a judge blocked the attempt, CMS opened a new federal public comment period and says it believes KY HEALTH promotes the objectives of Medicaid.
By Susan Morse | 03:55 pm | November 20, 2018
Only one quarter of one percent of Medicare beneficiaries in 2016 took advantage of the service.
By Susan Morse | 01:06 pm | November 15, 2018
CMS reminds Medicare Advantage organizations of their requirement to waive prior authorization in affected areas.
By Susan Morse | 05:37 pm | November 14, 2018
Week two of open enrollment shows an 8 percent drop in the number of people ...
By Susan Morse | 02:42 pm | November 14, 2018
Medicare Advantage insurers that miss enrolling dual-eligibles are losing out on an opportunity, according to Change Healthcare.
By Susan Morse | 05:23 pm | November 13, 2018
A number of insurance agents and brokers engaged in 'excessive searching' for applications stored in the health insurance marketplace, CMS says.
By Susan Morse | 03:45 pm | November 13, 2018
CMS letter to state Medicaid directors outlines new federal waiver to get reimbursed for residential treatment services.