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CMS to get ‘tougher’ on Medicare Advantage, official promises

Healthcare Dive

CMS Deputy Administrator Jon Blum signaled regulators could increasingly crack down on bad actors in the MA program, which now covers more than half of Medicare seniors.

Medicare 319
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Humana sues HHS over Medicare Advantage audits

Healthcare Dive

The payer, which brings in the bulk of its revenue from Medicare, is fighting back against a rule finalized earlier this year to claw back overpayments in the increasingly popular MA program.

Medicare 296
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Medicare go-broke date pushed back to 2031

Healthcare Dive

The date Medicare’s hospital trust fund is expected to run dry has been extended by three years, but stakeholders continue to urge action from Washington to address Medicare’s long-term solvency.

Medicare 310
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CMS threatens to cut hospices from Medicare if they can’t prove legitimacy

Healthcare Dive

The crackdown comes after media reports found fraudulent activity in hospice facilities, including those that certified patients for care who were not terminally ill and those that ran “churn and burn” Medicare billing schemes.

Medicare 245
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Medicare Advantage overpayments could exceed $75B this year, study finds

Healthcare Dive

The figure is almost triple prior estimates of MA overpayments, highlighting the need for payment reform to avoid overtaxing the Medicare system, researchers said.

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Senators debate ways to ensure Medicare's solvency

Fierce Healthcare

Democratic members of the Senate Budget Committee voiced support for taxing the wealthy and increasing Medicare spending, arguing Republicans want to keep the status quo for corporations enjoying f | Democrats came down on the side of taxing wealthy corporations, while Republicans agreed that spending must be cut to ensure Medicare's long-term (..)

Medicare 119
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Deadline Approaching for Medicare Part D Creditable Coverage Notices

Compliance Now

By Lee Spiegel , Compliance Director, MZQ Consulting By October 13, 2023, plan sponsors that offer prescription drug coverage must provide notices of creditable or non-creditable coverage to Medicare-eligible individuals. Have a deductible that is no more than $250/year.

Medicare 100