by Jessica Casebolt | Jul 12, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services (CMS) proposed a payment boost for dialysis providers next year in a draft regulation released Monday. The agency is proposing to raise the end-stage renal disease Prospective Payment System base rate for dialysis...
by Jessica Casebolt | Jun 20, 2023 | Payers, Tea Leaves
The largest Medicare Advantage insurers want to cut benefits, increase premiums and make other structural changes to their plans next year to account for higher-than-anticipated medical expenses this year. Both Humana and United HealthGroup have reported that their...
by Jessica Casebolt | Jun 14, 2023 | Payers, Tea Leaves
Overpayments to insurers administering Medicare Advantage plans now exceed $75 billion a year due to aggressive coding of patients’ health conditions and easily achieved bonus payments tied to quality, researchers with the USC Schaeffer Center for Health Policy...
by Jessica Casebolt | May 4, 2023 | Payers, Tea Leaves
Medicare Advantage (MA) enrollment accounts for just over half of all Medicare beneficiaries, according to a new analysis from the Kaiser Family Foundation. KFF researchers analyzed data from the Centers for Medicare & Medicaid Services and found that 30.19...
by Jessica Casebolt | Apr 28, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services (CMS) proposed new reporting rules for Medicaid and the Children’s Health Insurance Programs health plans that would, among other things, set national standards for appointment wait times and require disclosure of...
by Jessica Casebolt | Apr 27, 2023 | Payers, Tea Leaves
The Centers for Medicare and Medicaid Services is strengthening enforcement of its hospital transparency rule by imposing stricter timelines and levying fines more quickly, the agency announced Wednesday. Hospital compliance with the requirement that they publicly...
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