Medicare & Medicaid
Files containing protected health information, such as Medicare claims data were compromised in a cyberattack involving MOVEit.
CMS has directed that over $4 million in monetary relief be paid to consumers or providers.
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
Satisfaction among Medicare Advantage customers is 87 points higher than among customers of commercial member plans.
The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.
The suit alleges Humana committed to providing the required level of coverage, but in fact planned to provide less.
Cost to Medicare over a decade is likely to be in the low to middle tens of billions of dollars, Health Affairs says.
CMS said that if the new prices had been in effect last year, Medicare would have saved an estimated $6 billion across the 10 drugs.
Nationwide policy of 12-month continuous eligibility would allow these programs to operate more like private coverage and Medicare, letter says.
Actions won't impact Medicaid or ACA business in these states, where, notably, CVS and UnitedHealth Group both have presences, says Stephens report.