article thumbnail

2021 Medicare Advantage Plan Intelligence: An Early Look

Electronic Health Reporter

The Centers for Medicare and Medicaid Services (CMS) in recent months predicted both lower premiums and richer benefits for Medicare Advantage (MA) […]. The article 2021 Medicare Advantage Plan Intelligence: An Early Look appeared first on electronichealthreporter.com.

Medicare 155
article thumbnail

HHS OIG: 2 in 5 Medicare beneficiaries used telehealth during first pandemic year

Healthcare It News

Department of Health and Human Services Office of Inspector General released a study examining how Medicare beneficiaries used telehealth during the first year of the COVID-19 pandemic. "Telehealth was critical for providing services to Medicare beneficiaries during the first year of the pandemic," read the report.

Medicare 284
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Progressive lawmakers call on CMS to cull companies with history of Medicare fraud from ACO REACH

Healthcare Dive

At least 10 organizations with records of healthcare fraud and abuse prior to 2021 participated in the direct contracting program last year despite CMS screening requirements, the letter said.

Fraud 340
article thumbnail

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021

Fierce Healthcare

CMS: Medicare Advantage plans with 4 or more stars skyrocket in 2022 compared to 2021. Fri, 10/08/2021 - 12:12.

Medicare 134
article thumbnail

Humana posts $1.5B profit based on Medicare Advantage growth but cuts 2021 outlook

Fierce Healthcare

profit based on Medicare Advantage growth but cuts 2021 outlook. Wed, 11/03/2021 - 07:25. Humana posts $1.5B

Medicare 128
article thumbnail

Low-income seniors more likely to report fraudulent marketing from private Medicare plans, survey finds

Healthcare Dive

The survey from the Commonwealth Fund comes after regulators finalizing a rule this spring that aims to cut back on deceptive or misleading advertising for MA plans after beneficiary complaints more than doubled between 2020 and 2021.

Medicare 299
article thumbnail

CMS issues guidance for new telehealth eCQM reporting in 2020 and 2021

Healthcare IT News - Telehealth

The Centers for Medicare and Medicaid Services has put together further detailed guidance for how healthcare providers should be documenting and reporting electronic clinical quality measures for telehealth encounters. The 39 telehealth-eligible eCQMs for the 2021 performance period can be found here.