Medicare & Medicaid
Congressional leaders have expressed reservations about the model, saying it may allow insurers and providers to harm the Medicare system.
CMS is proposing a risk adjustment user fee for the 2024 benefit year of $0.21 per member per month.
What the groups want from Congress is action that would avert the entire 4.5% reduction to Medicare payment rates.
Findings suggest the result could see the largest changes in coverage since the ACA came into force more than a decade ago.
Efficiencies introduced in these policies would save physician practices and hospitals more than $15B over a 10-year period, CMS says.
Half of large employers offering retiree health benefits offer coverage to at least some retirees through a contract with an MA plan.
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10:17 am |
December 05, 2022
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10:17 am |
December 05, 2022
Medicare Advantage plans look to rise above the competition by going beyond traditional fitness offerings.
Audits uncovered about $12 million in net overpayments; AGs say lax rules for safeguarding reproductive health data could harm providers.
The news comes less than two weeks after Humana announced the expansion of its CenterWell Senior Primary Care clinics.
The rule would permit the use and disclosure of records based on a single patient consent.