Medicare Advantage

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.

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.

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…

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.

The Centers for Medicare & Medicaid Services yesterday finalized its policy and payment updates for Medicare Advantage and Part D plans for calendar year 2020.

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.

The Centers for Medicare & Medicaid Services yesterday proposed additional changes to Medicare Advantage and Part D payment policies beginning in calendar year 2020.

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.

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.

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.