Medicare Advantage

May 17, 2019
The Centers for Medicare & Medicaid Services May 16 released a final rule with the intent of lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
May 17, 2019
The Centers for Medicare & Medicaid Services May 16 released a final rule with the intent of lowering drug prices for beneficiaries enrolled in Medicare Advantage and Part D programs.
May 1, 2019
AHA urges the Antitrust Division of the Department of Justice (“DOJ”) to investigate thoroughly Centene’s proposed acquisition of WellCare because it threatens to reduce competition in delivery of Medicaid Managed Care and Medicare Advantage (“MA”) services to tens of millions of consumers across…
Apr 26, 2019
The Centers for Medicare & Medicaid Services yesterday extended to Aug. 28 the comment deadline for the risk adjustment data validation provisions in its proposed rule making changes to the Medicare Advantage and prescription drug benefit programs for contract year 2020.
Apr 2, 2019
The Centers for Medicare & Medicaid Services yesterday finalized its policy and payment updates for Medicare Advantage and Part D plans for calendar year 2020.
Mar 8, 2019
The Medicare Payment Advisory Commission this week discussed a set of national guidelines for coding hospital emergency department visits in response to the shift in ED coding from lower to higher intensity services.
Jan 31, 2019
The Centers for Medicare & Medicaid Services yesterday proposed additional changes to Medicare Advantage and Part D payment policies beginning in calendar year 2020.
Jan 25, 2019
AHA comments to CMS regarding proposed regulation to modernize Medicare Part D and Medicare Advantage programs to lower drug prices and reduce out-of-pocket.expenses.
Jan 9, 2019
Hospitals and health systems are increasingly focused on ways to address the social and economic factors that can affect health and health outcomes for their patients and communities.
Dec 21, 2018
The Centers for Medicare & Medicaid Services yesterday announced proposed changes to the risk adjustment model for aged and disabled beneficiaries enrolled in Medicare Advantage Part C plans beginning in calendar year 2020, as required by the 21st Century Cures Act.