KFF Publishes Research on MA Prior Authorization and Financial Metrics On August 8, the Kaiser Family Foundation (KFF) released data on the total number of Medicare Advantage (MA) prior authorization
CMS Releases Proposed Physician Payment Rule On July 10, CMS released the 2024 Medicare Physician Fee Schedule (MPFS) proposed rule which sets reimbursements and implements other policy changes for Medicare
MultiPlan and Major Insurers Face Price Fixing Lawsuits On June 11, healthcare service provider MultiPlan was sued by a group of substance use providers over an alleged price-fixing scheme related
The dual eligible benefit system is the overlap between Medicare and Medicaid benefits and includes and despite covering 17% of the traditional Medicare population, accounts for 33% of fee-for-service Medicare
Walmart to Close Primary Care Clinics On April 30, the retailer Walmart announced that it would shut down all of its health clinics and virtual healthcare services within 90 days.
Senate Holds Hearing on Physician Payment Reform On April 11, the Senate Finance Committee held a hearing on Medicare Clinician Payment Improvements, recognizing that Medicare payment policy for physicians through
Congress Enacts Funding Bill that Includes Physician Payment Changes On March 9 Consolidated Appropriations Act of 2024 was signed by the President and became law, allocating funding for some but
In recent years, CMS has been investing resources and rolling out programs to introduce value-based care models focusing on a variety of medical specialties. On January 18, CMS announced the
Margaret Braxton Managing Director, Payer Strategy and Regulatory Research February 2024CMS Announces MA Rate Notice and Implementation of Medicare Part D Changes • On January 31, CMS released the yearly
Margaret Braxton Managing Director, Payer Strategy and Regulatory Research January 2024 Health Care Legislation Faces Unusual Congressional Timeline • In 2023, Congressional leaders used a temporary spending bill to delay
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