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Medicare
Legislation Focused on Revamping MA Prior Authorization Hits Important…
In mid-May 2022, H.R. 3173, the Improving Seniors’ Timely Access to Care Act of 2021 surpassed the 290-cosponsor threshold needed…
CMS to Finalize Medicare Proposal Regarding Aduhelm
The Centers for Medicare and Medicaid Services announced that it will finalize its proposal for Medicare to cover Aduhelm and…
House Republicans Ask Becerra to Pull Medicare Aduhelm Proposal, Request…
House Republicans want the Biden administration to pull its proposal for Medicare to cover the controversial Alzheimer’s disease…
Study Found MA Quality Bonus Program Resulted in No Observable Difference…
Health Affairs recently published an article that found the effectiveness of the Medicare quality bonus program was limited. The…
CMS Releases Proposed Rule for Major MA and Part D Changes
The Biden administration wants Medicare Part D plans to apply any price concessions they get from drug makers to the point-of-sale…
COVID Tests Drove Increase in Medicare Part B Spending in 2020
In December 2021, the United States Department of Health and Human Services Office of Inspector General (HHS OIG) released a data…
ACOs Saved Medicare More than $4 Billion in 2020
According to data recently released by the Centers for Medicare and Medicaid Services (CMS) accountable care organizations (ACOs)…
CMS Releases Data on Medicare Advantage and Part D Star Ratings
According to data recently released by the Centers for Medicare and Medicaid Services (CMS), nearly 70% of Medicare Advantage (MA)…
Senate Introduces Bipartisan Prior Authorization Legislation: Timely Access…
On October 20, 2021, a group of bipartisan United States Senators (Roger Marshall, MD (R-KS); Krysten Sinema (D-AZ); and John…
Higher MIPS Quality Scores Rarely Associated with Lower Complication Rates
Better Merit-based Incentive Payment System (MIPS) quality scores were rarely associated with lower rates of hospital…