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Medicare & Medicaid

By Susan Morse | 11:54 am | September 22, 2023
At least 7.1 million Medicaid enrollees have been disenrolled as of September 20, according to KFF.
By Jeff Lagasse | 05:22 pm | September 19, 2023
Low-income seniors are twice as likely to file complaints regarding what they perceive as shady marketing practices, survey finds.
By Jeff Lagasse | 07:27 pm | September 13, 2023
As MA plan options continue to grow, retention and competition for new members are even more critical.
By Jeff Lagasse | 11:56 am | September 12, 2023
Participating practices outperformed the market in rates of control of diabetes, as well as screening rates for various cancers.
By Jeff Lagasse | 11:29 am | September 07, 2023
The timing of this switching has implications for how to measure growth in risk scores for new MA beneficiaries.
By Susan Morse | 08:28 pm | September 06, 2023
The total costs of additional staffing to meet a minimum staffing requirement would range from $1.5 to $6.8 billion, says CMS study.
By Susan Morse | 11:54 am | September 06, 2023
AHEAD model includes financial incentives for hospitals and primary care practices.
By Jeff Lagasse | 05:00 pm | September 05, 2023
Plaintiffs alleged that LVMC claimed and received payments that were not for "allowed medical expenses" permissible under state contracts.
By Jeff Lagasse | 11:20 am | September 01, 2023
CMS believes that eligibility systems in a number of states are programmed incorrectly, possibly leading to disenrollments.
By Jeff Lagasse | 01:20 pm | August 29, 2023
Under the arrangement, members will be able to access Interwell's care and specialized resources.