Some people look forward to spring for the warmer weather and daffodils. I love spring because the Cleveland International Film Festival comes around. I saw a movie this year called First We Bombed New...
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 pledges to use ‘full array’ of tools to enforce 2024 Medicare Advantage rules
By
Josh Henreckson
Jan 12, 2024
Despite early fears, long-term care leaders have some reason to be optimistic that changes to Medicare Advantage rules for 2024 will be enforced.
Less post-acute care worsens outcomes, Medicare Advantage patients reveal in new study
By
Kimberly Marselas
Aug 21, 2023
Fewer Medicare Advantage enrollees report using post-acute care services than traditional Medicare beneficiaries. But even when they do use them, a new study finds that those MA patients report more undesirable...
A crazy way to spend a healthcare fortune
By
James M. Berklan
Dec 01, 2023
I’d like to announce that the folks who run Medicare Advantage plans will be shaking in their boots soon, fearful of what authorities are going to do to them.