Medicare & Medicaid

One organization has engaged legal counsel, saying it hopes deficiencies identified will be corrected in the final rule. 

The departments say they have received "substantially more" disputed claims than expected. 

Health officials have told Politico that HHS will extend the PHE again in October.

Just 38% of MA plan members say they have enough coverage for mental health treatment, down from 39% a year ago.

Part D's programmatic structure may lead to plan sponsors preferring higher-cost versions of hepatitis C drugs, OIG finds.

The insurer's strategy is to expand its geographic presence and the scope of services it can offer.

<p class="MsoNoSpacing"><span style="font-size:11pt"><span style="font-family:"Calibri",sans-serif">This week's top stories include Physician Partners of America agreeing to pay $24.5M to settle a number of alleged violations, including unnecessary testing, and CMS estimates that payments to acute care hospitals will increase in 2023 by $1.6B. </span></span></p>

<p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:11.0pt"><span style="font-family:"Calibri",sans-serif">This week's top stories include the Health Sector Cybersecurity Coordination Center reporting that <span style="color:black">Protected Health Information in EHRs is prized by bad actors, and 60 U.S. senators sent a letter urging CMS to protect MA. </span></span></span></span></span></p>

<p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:11.0pt"><span style="font-family:"Calibri",sans-serif"><span style="color:black">This week's top stories include the Mayo Clinic halting the </span></span></span><span style="font-size:11.0pt"><span style="font-family:"Calibri",sans-serif">scheduling of appointments for patients in most Medicare Advantage plans, <span style="color:black">and </span>an Oklahoma City hospital tightening security after COVID-19-related social media posts accused providers of murder. </span></span></span></span></p>

<p><span style="font-size:12pt"><span style="font-family:"Times New Roman",serif"><span style="font-size:11.0pt"><span style="font-family:"Arial",sans-serif"><span style="color:black">This week's top stories include Black, Hispanic, Asian American and other minority Medicaid enrollees reporting significantly worse experiences around care access compared to their white counterparts, and Amazon Care expanding in-person services to 20 new cities. </span></span></span></span></span></p>