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Medicare & Medicaid

By Jeff Lagasse | 12:47 pm | October 19, 2023
This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.
By Susan Morse | 11:06 am | October 18, 2023
A Kaiser health plan did not make the 5-star list for 2024, but two plans by lesser known Devoted Health did.
By Susan Morse | 06:06 pm | October 13, 2023
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
By Susan Morse | 06:13 pm | October 12, 2023
Premiums and deductibles for Part B physician and outpatient care are both increasing next year.
By Jeff Lagasse | 12:55 pm | 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 | 10:33 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 | 11:22 am | October 05, 2023
The state had already determined the company hadn't met readiness review requirements, regulatory filings show.
By Jeff Lagasse | 08:21 pm | October 03, 2023
Major insurers are rolling out MA benefits for 2024, ahead of open enrollment, starting on October 15.
By Jeff Lagasse | 12:17 pm | 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 | 10:54 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.