Lawmakers say CMS should ban Medicare Advantage’s use of AI to deny care
By
Josh Henreckson
Jun 26, 2024
The Centers for Medicare & Medicaid Services should consider banning artificial intelligence from being used to deny Medicare Advantage coverage pending a “systematic review,” a group of 49 congressional...
CMS must ‘ease burdens’ if it wants more long-stay residents in value-based care: report
By
Kimberly Marselas
Jan 29, 2024
The Centers for Medicare & Medicaid Services must do more to move states away from an “extremely bifurcated” Medicare and Medicaid system that sometimes leaves dually eligible beneficiaries confused...
Expect another Five-Star freeze amid nursing home survey delays, experts warn
By
Kimberly Marselas
Feb 20, 2024
Staffing measures used to calculate nursing homes’ federal ratings will freeze in April, further complicating a system based on often outdated and constantly changing metrics, experts warned last week.