House committee approves bill that would reform prior authorization under Medicare Advantage program
By
Danielle Brown
Jul 29, 2022
Providers demanding change to the Medicare Advantage program may soon get their wish after a House panel advanced a measure that would reform the program’s prior authorization process.
8.5% payment boost to Medicare Advantage plans ‘clear signal of support’ from CMS: expert
By
Danielle Brown
Apr 06, 2022
The 8.5% boost in average revenue slated for Medicare Advantage plans in 2023 is proof of the Centers for Medicare & Medicaid Services support of the program and could mean improved payment for post-acute...
CMS rule changes aim to increase telehealth access for Medicare Advantage beneficiaries
By
Danielle Brown
May 26, 2020
Changes under a recent final rule encourage Medicare Advantage plans to increase their telehealth benefits and plan options for beneficiaries in rural areas.
Operators treating Medicare Advantage enrollees for depression, dementia and frailty are unfairly penalized:...
By
Danielle Brown
Feb 11, 2020
Operators who serve a disproportionate share of beneficiaries with these conditions are penalized twice, argue researchers.
Providers demand fixes after feds find MA plans wrongly delay or deny SNF services too often
By
Danielle Brown
May 02, 2022
Skilled nursing providers are demanding changes after a new federal report found that Medicare Advantage organizations (MAOs) have improperly denied or delayed services to beneficiaries to increase profits.
CMS eyes 8% revenue increase for Medicare Advantage
By
Danielle Brown
Feb 04, 2022
The Centers for Medicare & Medicaid Services is forecasting a nearly 8% increase in revenue for Medicare Advantage plans next year. The agency released its 2023 advance notice earlier this week.