Medicare & Medicaid
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.
Data show these vaccines fail to protect effectively against upper respiratory infections such as COVID-19 and flu, Kennedy says.
CMS is finalizing its proposal to remove four SDOH standardized patient assessment data elements to reduce burden.
Company's current view for 2025 reflects $6.5B more in medical costs than anticipated in its initial outlook.
UHG says it’s confident in its business practices and has begun complying with formal civil and criminal DOJ requests.
It would require MA plans to reimburse for items and services at least what would have been paid under original Medicare.
The pledge is part of a recent series of commitments made by health plans to overhaul prior authorizations.
Ninety percent of beneficiaries lived in a county where at least 50% were in plans sponsored by one or two insurers in 2024.
While the original lawsuit honed in on cut points, the new complaint focuses primarily on customer service phone calls placed by CMS.
This results from a decrease in direct spending of $1.1 trillion and a decrease in revenues of $4.5 trillion, CBO says.