Fierce Healthcare

OCTOBER 20, 2021

Avalere: More Medicare Advantage plans to offer supplemental benefits in 2022. Wed, 10/20/2021 - 16:29.

Medicare 117

Medicare Medicare 117

Fierce Healthcare

OCTOBER 8, 2021

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021. Fri, 10/08/2021 - 12:12.

Medicare 134

Medicare Medicare 134

Fierce Healthcare

SEPTEMBER 29, 2021

Medicare Advantage premiums to decline slightly in 2022, Part D to rise by nearly 5%. Wed, 09/29/2021 - 14:49.

Medicare 134

Medicare Medicare 134

Healthcare IT News - Telehealth

JUNE 19, 2023

Over the last few years, Medicare Advantage plans have dramatically increased their deployment of telehealth systems for seniors. While some in the healthcare industry may be skeptical of telehealth’s utilization, particularly within the Medicare population, these plans continue to move full steam ahead.

Medicare 141

Medicare Medicare Telemedicine Medicaid 141

Fierce Healthcare

AUGUST 16, 2021

HCSC eyes largest Medicare Advantage expansion in its history for 2022. Mon, 08/16/2021 - 15:22.

Medicare 113

Medicare Medicare 113

Fierce Healthcare

NOVEMBER 12, 2021

Part B premiums set to rise in 2022 as Medicare braces for potential high-cost therapies like Aduhelm. Fri, 11/12/2021 - 18:06.

Medicare 131

Medicare Medicare 131

Fierce Healthcare

OCTOBER 4, 2021

Centene to grow geographic footprint in Medicare Advantage by 26% for 2022. Mon, 10/04/2021 - 11:57.

Medicare 109

Medicare Medicare 109

Fierce Healthcare

MARCH 31, 2023

Trustees predict Medicare hospital fund to run out in 2031, three years later than 2022 report rking Fri, 03/31/2023 - 13:22

Medicare 84

Medicare Medicare Hospitals 84

Healthcare Dive

JANUARY 18, 2024

The insurer also lowered its expectations for Medicare Advantage membership growth this year. Humana’s stock dropped 11% in morning trading Thursday to its lowest level since February 2022.

Medicare 286

Medicare Medicare 286

Healthcare Dive

FEBRUARY 7, 2023

Traditional Medicare lost 1 million enrollees over the same period, according to new research published in Health Affairs.

Medicare 251

Medicare Medicare 251

Electronic Health Reporter

NOVEMBER 8, 2022

With 82% of 2022 claims denials associated with Medicare, and third-party audit volume rapidly climbing, hospitals and health systems are under intense pressure to protect and grow revenues. These were among the key findings of […].

Medicare 103

Medicare Medicare Hospitals 103

HealthIT Answers

AUGUST 28, 2023

CMS announced that the Medicare Shared Savings Program saved money for Medicare while continuing to support high-quality care. Specifically, the program saved Medicare $1.8 billion in 2022 compared to spending targets for the year. The post Medicare Shared Savings Program Saves Medicare More Than $1.8

Medicare 52

Medicare Medicare 52

Fierce Healthcare

SEPTEMBER 30, 2021

Here's what major national payers are offering in Medicare Advantage for 2022. Thu, 09/30/2021 - 15:42.

Medicare 101

Medicare Medicare 101

HIPAA Journal

DECEMBER 15, 2022

On November 14, 2022, Fairmont, WV-based Health Care Management Solutions (HMS) reported a data breach to the HHS’ Office for Civil Rights that affected up to 500,000 individuals. It has now been confirmed that HMS suffered a ransomware attack on October 8, 2022. At the time, few details about the breach were released.

Ransomware 103

Ransomware Medicare Medicare HIPAA 103

Innovaare Compliance

FEBRUARY 25, 2024

The Centers for Medicare & Medicaid Services (CMS) uses the Hierarchical Condition Category (CMS-HCC) medicare risk adjustment model to determine monthly capitation fees for Medicare Advantage (MA) plans. CMS proposes calibrating the RxHCC model for CY 2025 on 2021 diagnoses and 2022 expenditure data from PDE records.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Fierce Healthcare

DECEMBER 20, 2022

Medicare-certified hospitals must supply ownership data. Tue, 12/20/2022 - 16:46.

Medicare 127

Medicare Medicare Hospitals 127

Fierce Healthcare

SEPTEMBER 1, 2023

Much of the growth experienced by Medicare Advantage over the last two decades can be attri | Beneficiaries switching from fee-for-service Medicare to Medicare Advantage more than tri-pled between 2006 and 2022. Conversely, switching from MA to traditional Medicare decreased.

Medicare 76

Medicare Medicare 76

Medisys Compliance

DECEMBER 23, 2022

The internet is ringing with the news of the CMS Updates Final rule for the 2023 Medicare Physician Fee Schedule. The finalized 2023 Medicare Physician Fee Schedule was announced by the Centers for Medicare & Medicaid Services (CMS) on November 1 2022. Medicare reimbursement for telehealth services.

Medicare 98

Medicare Medicare Medical Billing Medical Billing Outsourcing 98

Med Law Blog

FEBRUARY 8, 2024

Penn State Health has agreed to pay $11,712,336 to settle allegations of civil liability from submitting improper claims to Medicare for Annual Wellness Visit services.

Medicare 59

Medicare Medicare 59

HIPAA Journal

APRIL 27, 2023

The Centers for Medicare & Medicaid Services (CMS) has started notifying certain Medicaid beneficiaries about an impermissible disclosure of some of their protected health information due to a mailing error at one of its contractors. The CMS believes that the risk of identity theft and Medicare fraud is minimal.

Medicare 92

Medicare Medicare Medicaid Medicaid 92

Healthcare IT News - Telehealth

DECEMBER 14, 2021

This is why, as the new year approaches, Healthcare IT News has sat down with an expert in value-based care to get his views on what 2022 will hold for the payment system. Caravan Health President and CEO Tim Gronniger previously was chief of staff and director of delivery system reform at the Centers for Medicare and Medicaid Services.

Medicare 171

Medicare Medicare COVID-19 Telemedicine 171

HIT Consultant

AUGUST 8, 2022

FAIR Health Monthly Telehealth Regional Tracker, May 2022, United States. The data represent the privately insured population, including Medicare Advantage and excluding Medicare Fee-for-Service and Medicaid. – FAIR Health reports national telehealth utilization increased 10.2 percent, from 4.9 percent in May.

COVID-19 98

COVID-19 Medicare Medicare Medicaid 98

Fierce Healthcare

DECEMBER 15, 2022

Genetic testing lab owner convicted in $463M Medicare fraud case. Thu, 12/15/2022 - 14:14.

Fraud 122

Fraud Medicare Medicare 122

Fierce Healthcare

AUGUST 24, 2023

The Centers for Medicare & Medicaid Services (CMS) announced that the Medicare Shared Savings Program (MSSP) has saved a net $1.8 billion in 2022 for accountable care organizations, which is th | Accountable care organizations saved a net $1.8 billion in 2022 from the Medicare Shared Savings Program, CMS said Thursday.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Fierce Healthcare

DECEMBER 20, 2022

From telehealth to Medicare cuts: Here are the health policies in Congress' $1.7T Tue, 12/20/2022 - 10:29.

Medicare 132

Medicare Medicare 132

Medisys Compliance

JUNE 27, 2022

The Centers for Medicare and Medicaid Services (CMS) has announced a shift in its eligibility criteria for coverage of lung cancer screening using low-dose CT (LDCT), with implementation date of October 3 rd , 2022. CMS Announcement for Revised Coverage. Preventive Services Task Force recommendation. Beneficiary Eligibility Criteria.

Medicare 97

Medicare Medicare Medical Billing Medical Billing Outsourcing 97

Fierce Healthcare

DECEMBER 1, 2022

Senators to Medicare Advantage plans: Get your provider directories in order. Thu, 12/01/2022 - 16:41.

Medicare 117

Medicare Medicare 117

Fierce Healthcare

JANUARY 6, 2022

Study examines differences in coverage denials for traditional Medicare, MA. Thu, 01/06/2022 - 17:00. agliadkovskaya.

Medicare 132

Medicare Medicare 132

Fierce Healthcare

DECEMBER 14, 2022

CMS proposes new Medicare Advantage and Part D reforms on prior authorization, marketing. Wed, 12/14/2022 - 17:09.

Medicare 117

Medicare Medicare 117

The Health Law Firm Blog

JANUARY 13, 2024

Board Certified by The Florida Bar in Health Law On September 27, 2022, a Florida pharmacy owner pled guilty to conspiring to commit healthcare fraud in an $8.3 The scheme involved securing orders for medically unnecessary prescriptions billed to Medicare and paying bribes and kickbacks, [.] Indest III, J.D., million scheme.

Fraud 52

Fraud Medicare Medicare Medicaid 52

Healthcare Dive

AUGUST 10, 2023

Star ratings bonuses jumped 30% from 2022 to 2023 to reach $12.8 billion, according to the KFF, as the Medicare program faces a growing spending crisis.

Medicare 241

Medicare Medicare 241

HIT Consultant

SEPTEMBER 14, 2023

What You Should Know: – Out-of-network ground ambulance rides accounted for a larger percentage of ground ambulance claim lines 1 than in-network rides from 2018 to 2022. In 2022, out-of-network transport accounted for 59.4% in 2022. . For example, in 2022, 51.1 percent in 2022. percent by 2022.

Hospitals 98

Hospitals Medicare Medicare 98

Fierce Healthcare

NOVEMBER 17, 2022

Milliman: Home benefits surge in popularity among Medicare Advantage plans. Thu, 11/17/2022 - 15:17.

Medicare 104

Medicare Medicare 104

Fierce Healthcare

NOVEMBER 23, 2022

Google rolls out search features that aim to make it easier to sign up for Medicaid, Medicare. Wed, 11/23/2022 - 11:12.

Medicaid 125

Medicaid Medicaid Medicare Medicare 125

Electronic Health Reporter

OCTOBER 19, 2022

5376, the Inflation Reduction Act of 2022 (IRA), was passed via partisan votes by both chambers of Congress and […]. The article The Inflation Reduction Act: The Impact of Medicare Negotiation of Prescription Drug Prices on Hospitals and Health Systems appeared first on electronichealthreporter.com. In August, H.R.

Prescription Drug Pricing 91

Prescription Drug Pricing Medicare Medicare Hospitals 91

Fierce Healthcare

NOVEMBER 14, 2022

Hospital groups tell lawmakers looming Medicare cuts 'not sustainable' as officials come back. Mon, 11/14/2022 - 13:53.

Medicare 104

Medicare Medicare Hospitals 104

Fierce Healthcare

NOVEMBER 22, 2022

Senate bill seeks to improve Medicare handbook amid spike in marketing complaints. Tue, 11/22/2022 - 11:09.

Medicare 104

Medicare Medicare 104