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Medicare & Medicaid

By Jeff Lagasse | 12:31 pm | December 06, 2021
The appeal is in response to court rulings saying the federal government overstepped its authority by not seeking Congressional approval.
By Susan Morse | 11:13 am | December 06, 2021
Medicare services added to the telehealth services list temporarily during the PHE will remain in place through December 31, 2023.
By Jeff Lagasse | 01:55 pm | December 02, 2021
CMS is focused on identifying improvements that would increase organ donations, improve transplants and enhance dialysis care.
By Susan Morse | 07:28 pm | November 30, 2021
In Missouri, a federal judge granted 10 states a preliminary injunction, and in Louisiana, the court issued a nationwide injunction.
By Jeff Lagasse | 01:06 pm | November 29, 2021
Care consistency is one of the major reasons why value-based models tend to result in better outcomes for MA members, Humana said.
By Susan Morse | 10:37 am | November 24, 2021
The average amount is $170,700, with payments ranging from $500 to $43 million.
By Jeff Lagasse | 05:27 pm | November 22, 2021
Along with that growth, the number of plans offering more than one benefit increased 15%, from 175 to 202.
By Jeff Lagasse | 11:53 am | November 18, 2021
New data submission requirements include information on average monthly premiums and drug spending for patients.
By Susan Morse | 12:02 pm | November 16, 2021
The improper payment rate for claims processed July 1, 2020, to June 30, 2021, is 6.26%, a historic low, CMS says.
By Susan Morse | 10:56 am | November 16, 2021
Workforce shortages, partly caused by retirement, has expanded the CFO role, says eHealth CFO Christine Janofsky.