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Medicare & Medicaid

By Susan Morse | 05:06 pm | October 13, 2023
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
By Susan Morse | 05:13 pm | October 12, 2023
Premiums and deductibles for Part B physician and outpatient care are both increasing next year.
By Jeff Lagasse | 11:55 am | October 09, 2023
Most of the selected diagnosis codes that Aetna submitted to CMS didn't comply with federal requirements, OIG says.
By Jeff Lagasse | 09:33 am | October 09, 2023
The company is teaming with Optum, Centene and others in an effort to provide mental health services to 50 million more people.
By Jeff Lagasse | 10:22 am | October 05, 2023
The state had already determined the company hadn't met readiness review requirements, regulatory filings show.
By Jeff Lagasse | 07:21 pm | October 03, 2023
Major insurers are rolling out MA benefits for 2024, ahead of open enrollment, starting on October 15.
By Jeff Lagasse | 11:17 am | October 03, 2023
The lawsuit was linked to past risk adjustment submissions from certain types of patient records, some dating back more than a decade.
By Susan Morse | 09:54 am | October 03, 2023
The drugs selected account for $50.5 billion in Part D gross covered prescription drug costs, or about 20% of the total, CMS says.
By Susan Morse | 11:26 am | October 02, 2023
Drug manufacturers must now enter into an agreement with HHS to take part in the price negotiation process. 
By Jeff Lagasse | 11:00 am | October 02, 2023
States must provide 12 months of continuous coverage for children under the age of 19, CMS says.