Health insurance lobbyists and plans have put a ton of work into defending the Medicare Advantage (MA) program from proposed cuts and rule changes by the Centers for Medicare and Medicaid Services (CMS), but this week traditional Medicare gets community support of its own. And one insurer breaks from the pack to support the rule...
Medicare Advantage's unprecedented market growth is attributable in part to the high volume of dually eligible beneficiaries in special needs plans (D-SNPs), but some plans are concerned that the proposed advanced notice will hurt vulnerable beneficiaries enrolled in these plans.
According to data released by the Centers for Medicare...CMS Rules
The atmosphere around the future of Medicare Advantage has been fraught since the announcement of the final rule on Risk Adjustment Data Validation (RADV).
The rule's new methodology will be applied to plans dating back to 2018, and the Centers for Medicare and Medicaid Services (CMS) anticipates it will recoup nearly $50 billion for...National News
The Centers for Medicare & Medicaid Services (CMS) released the Calendar Year (CY) 2024 Advance Notice for the Medicare Advantage (MA) and Part D Prescription Drug Programs that would update next year's payment policies.
In addition to the payment updates, the advance notice outlines several updates and improvements made by...