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Medicare
HHS OIG Issues Report on Two Midnight Rule in Medicare
CMS estimates that between 2017 and 2021, Medicare Part A improperly paid $23.9 billion for inpatient hospital stays, with $7.8…
AmeriLife Sues HHS Over Broker Compensation Cap
AmeriLife Holdings, LLC, Network Insurance Senior Health Division ALG, LLC, and AmeriLife Marketing Group, LLC (“AmeriLife”)…
SCAN Health Plan Prevails in Lawsuit Challenging its Star Rating
SCAN Health Plan recently won a lawsuit in which it challenged its 2024 Star Rating by the United States Department of Health and…
CMS Issues CY 2025 Medicare Advantage and Part D Final Rule
On April 4, 2024, the Centers for Medicare & Medicaid Services (“CMS”) issued the contract year 2025 Medicare Advantage and…
Medicare Part D Greatly Increased Utilization Restriction on Prescription…
Health Affairs recently published a study that found Medicare Part D plans greatly increased utilization restrictions on…
CMS Publishes Advance Notice of Methodological Changes for CY 2025
The Centers for Medicare & Medicaid Services (CMS) released its Advance Notice of Methodological Changes for Calendar Year…
CMS Seeks Input on Medicare Advantage Data
Recently, the United States Centers for Medicare and Medicaid Services (CMS) issued a Request for Information regarding various…
Lawsuit Filed Against MultiCare Health System Over Allegations that a…
The United States Department of Justice (DOJ) recently announced that the United States and the State of Washington filed a…
The Inflation Reduction Act Impact on Medicare Part D
Medicare’s Part D benefit is significantly impacted by the Inflation Reduction Act (IRA). The current Coverage Gap Discount…
ACOs Do Not Positively Influence Chronic Mental Health Treatment for…
A recent study found that accountable care organizations do not have a positive influence on treatment and outcomes for chronic…