Some Seniors Make This Costly Medicare Enrollment Mistake. A Bipartisan Bill Looks To Fix It
October 4, 2022
A bipartisan bill in the House aims to fix a costly enrollment mistake that some older adults make when they […] Read More
Medicare/Medicaid Posts
Nursing Home Surprise: Advantage Plans May Shorten Stays to Less Time Than Medicare Covers
October 4, 2022
Health care providers, nursing home representatives, and advocates for residents say Medicare Advantage plans are increasingly ending members’ coverage for nursing home and rehabilitation services before patients are healthy enough to go home. Read More
Health Plan Shake-Up Could Disrupt Coverage for Low-Income Californians
September 27, 2022
Almost 2 million of California’s poorest and most medically fragile residents may have to switch health insurers as a result of a new strategy by the state to improve care in its Medicaid program. Read More
The Inflation Reduction Act Aims To Lower Drug Costs — But Here’s How Big Pharma Could Get Around It
September 27, 2022
The Inflation Reduction Act is set to lower drug prices for millions of people in the U.S. — but experts […] Read More
Study: ‘Big Differences’ Between Medicare Advantage And Traditional Medicare But Seniors Like Both
September 20, 2022
Medicare Advantage is better about coaxing seniors to get preventive healthcare while traditional Medicare lands its beneficiaries in higher quality […] Read More
House Passes Reform To Medicare Advantage Prior Authorizations
September 15, 2022
The U.S. House of Representatives unanimously passed legislation that would streamline the prior authorization (PA) process used for Medicare Advantage […] Read More
Group Health Plan Compliance Requirement Due 10/15
September 13, 2022
Employers (of any size) providing prescription drug coverage benefits must distribute an annual notice to all Medicare-eligible individuals by October 15th – including both employees and dependents. Read More
Passage Of Inflation Reduction Act Gives Medicare Historic New Powers Over Drug Prices
September 13, 2022
Medicare is poised to renegotiate the prices of some of its most expensive drugs through a historic expansion of its […] Read More
MA Plans To CMS: Controversial Audit Rule Could Wreck Popular Program If Finalized
September 6, 2022
The Biden administration needs to back off a massive overhaul to risk adjustment audits for Medicare Advantage (MA) plans, according […] Read More
CMS Aims To Streamline Medicaid, CHIP Enrollment Process
September 1, 2022
The Biden administration proposed new regulations aimed at overhauling the application and renewal processes for Medicaid and other government programs, […] Read More