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Medicare & Medicaid

By HIMSS TV | 07:50 am | January 29, 2021
This week's top stories include a House bill that would expand virtual care access, DarioHealth acquiring Upright Technologies, and the AHA asking CMS to withdraw and replace the most favored nation model interim final rule.
By Jeff Lagasse | 04:52 pm | January 28, 2021
There's a desire for greater personalization, with 86% of members wanting their plan to personalize communication, care and services.
By Mallory Hackett | 04:41 pm | January 28, 2021
The memorandum also directs federal agencies to review policies that undermine the ACA, Medicaid or the Health Insurance Marketplace.
By Mallory Hackett | 05:46 pm | January 27, 2021
The rule, which was to have gone into effect on January 1, is under a temporary injunction.
By Susan Morse | 02:40 pm | January 22, 2021
CDPHP health plan in upstate New York is working with Mom's Meals to offer home-delivered meals at no cost to Medicare Advantage members returning home from the hospital.
By Jeff Lagasse | 12:29 pm | January 22, 2021
Ninety-five percent of respondents agreed it is important for seniors to have coverage options aside from traditional Medicare.
By Jeff Lagasse | 12:11 pm | January 21, 2021
The move is the first sign of future healthcare policy changes, given Biden's promises to reform the industry.
By Mallory Hackett | 06:07 pm | January 19, 2021
Rule requiring payers to implement APIs for data sharing and to streamline prior authorization is “half-baked,” AHIP says.   
By Jeff Lagasse | 05:47 pm | January 19, 2021
This earlier release of the rate announcement will help MA and Part D plans better plan for 2022 plan costs, CMS says.
By Jeff Lagasse | 11:38 am | January 15, 2021
The changes are effective in 2022 and may lower enrollee cost sharing on the most expensive prescription drugs, CMS said.