Healthcare Dive

OCTOBER 3, 2022

Enrollment in the popular plans is expected to continue to grow in 2023, CMS predicts.

Medicare 261

Medicare Medicare 261

Healthcare Dive

JANUARY 24, 2024

The health insurer’s stock plunged Thursday morning following its 2023 results, which fell startlingly short of Wall Street’s expectations.

Medicare 274

Medicare Medicare Health Insurance 274

Healthcare Dive

JULY 14, 2022

Clover plans to offer Medicare Advantage plans in counties across Georgia, South Carolina and Tennessee next year, broadening its footprint to 220 counties in 2023.

Medicare 184

Medicare Medicare 184

Healthcare IT News - Telehealth

JANUARY 23, 2023

As healthcare providers look ahead to 2023, being at the forefront of what's next in telehealth and strategically integrating the technology necessary to stay there may be critical to future success. You have identified three trends in telemedicine for 2023. Please elaborate. For example, the U.S. What do you see?

Telemedicine 217

Telemedicine COVID-19 Medicare Medicare 217

Fierce Healthcare

SEPTEMBER 2, 2021

MedPAC considers one-time funding boosts for Medicare in 2023 due to COVID-19 confusion. Thu, 09/02/2021 - 17:11.

COVID-19 130

COVID-19 Medicare Medicare 130

Healthcare IT Today

NOVEMBER 17, 2024

About 29% of healthcare payments flowed through downside risk contracts in 2023 , according to research from the Health Care Payment Learning & Action Network. Medicare Advantage led the way, with 43% of dollars in downside risk. Partnerships McKesson subsidiary Ontada’s real-world data is now available within Datavant.

Medicare 88

Medicare Medicare Hospitals 88

Healthcare Dive

DECEMBER 4, 2023

The HHS’ Office of the Inspector General’s report tallied 707 criminal enforcement actions and 746 civil actions for fraud and misspent funds in programs like Medicare and Medicaid.

Fraud 246

Fraud Governance Medicaid Medicaid 246

Fierce Healthcare

JANUARY 14, 2022

MedPAC: Majority of Medicare beneficiaries to be on MA by 2023, but coding issues remain rampant. Fri, 01/14/2022 - 16:37.

Medicare 123

Medicare Medicare 123

Fierce Healthcare

JUNE 17, 2024

Amazon Pharmacy is expanding its prescription drug subscription program, called RxPass, to Prime members on Medicare insurance. | The RxPass program, launched in January 2023, provides unlimited access to 60 eligible generic medications and will ship the medications to customers' homes for a flat monthly fee of $5.

Medicare 135

Medicare Medicare 135

Healthcare Dive

MAY 17, 2022

The payer plans to open about 100 new value-based primary care clinics for Medicare patients between 2023 and 2025 through the latest deal.

Medicare 261

Medicare Medicare 261

Fierce Healthcare

JULY 24, 2024

The Centers for Medicare & Medicaid Services (CMS) has released new data on risk adjustment payments for 2023. | The Centers for Medicare & Medicaid Services has released new data on risk adjustment payments for 2023.

Medicaid 122

Medicaid Medicaid Medicare Medicare 122

Healthcare Dive

DECEMBER 6, 2023

The beleaguered insurer will leave the accountable care program at the end of the 2023 performance year following disappointing results in Medicare direct contracting.

Medicare 261

Medicare Medicare 261

Healthcare Dive

AUGUST 10, 2023

Star ratings bonuses jumped 30% from 2022 to 2023 to reach $12.8 billion, according to the KFF, as the Medicare program faces a growing spending crisis.

Medicare 246

Medicare Medicare 246

Fierce Healthcare

DECEMBER 29, 2023

Tech-enabled Medicare Advantage startup Devoted Health is closing out 2023 with $175 million in fresh funding, marking one of the largest funding rounds of the year. Tech-enabled Medicare Advantage startup Devoted Health is closing out 2023 with $175 million in fresh funding, marking one of the largest funding rounds of the year.

Medicare 128

Medicare Medicare 128

Healthcare Law Today

NOVEMBER 30, 2022

On November 1, 2022, the Centers for Medicare and Medicaid Services (CMS) released its final 2023 Medicare Physician Fee Schedule (PFS) rule. Telehealth and other digital health modalities continue to increase in importance for Medicare populations and corresponding health care providers.

Medicare 132

Medicare Medicare Telemedicine Nurses 132

Fierce Healthcare

MARCH 9, 2023

What Biden's proposed budget means for Medicare Advantage rking Thu, 03/09/2023 - 16:16

Medicare 127

Medicare Medicare 127

Fierce Healthcare

NOVEMBER 20, 2023

Traditional Medicare paid out an estimated $31.2 billion in improper payments in fiscal year 2023, according to new data from the federal government. |

Medicare 130

Medicare Medicare Medicaid Medicaid 130

Fierce Healthcare

APRIL 24, 2023

Home care industry touts bipartisan bill to expand Medicare in-home benefits, reimbursement dmuoio Mon, 04/24/2023 - 14:08

Medicare 137

Medicare Medicare 137

Fierce Healthcare

FEBRUARY 16, 2023

Analysis: Medicare Advantage plans more likely to deny inpatient claims pminemyer Thu, 02/16/2023 - 14:16

Medicare 130

Medicare Medicare 130

Fierce Healthcare

FEBRUARY 9, 2024

Though a spike in utilization among seniors slammed payers last year, particularly in the fourth quarter, each of the six major national firms turned a profit in 2023. Though a spike in utilization among seniors slammed payers last year, particularly in the fourth quarter, each of the six major national firms turned a profit in 2023.

Medicare 117

Medicare Medicare 117

Fierce Healthcare

JANUARY 5, 2023

Commonwealth Fund: Medicare inpatient spending concentrated among 2 systems in most regions. Thu, 01/05/2023 - 15:07.

Medicare 128

Medicare Medicare 128

Fierce Healthcare

DECEMBER 21, 2023

Physician pay and workforce issues were top of mind for Fierce Healthcare readers in 2023. Physician pay and workforce issues were top of mind for Fierce Healthcare readers in 2023.

Medicare 120

Medicare Medicare Hospitals 120

Fierce Healthcare

MARCH 31, 2023

CMS to raise Medicare Advantage pay rates by 3.3% in 2024; phase in risk adjustment changes rking Fri, 03/31/2023 - 16:02

Medicare 135

Medicare Medicare 135

Fierce Healthcare

MAY 19, 2023

Senators press Medicare Advantage insurers over claims denials pminemyer Fri, 05/19/2023 - 14:01

Medicare 117

Medicare Medicare 117

Fierce Healthcare

MAY 26, 2023

CVS braces for $1B hit following Medicare Advantage star ratings drop pminemyer Fri, 05/26/2023 - 12:45

Medicare 123

Medicare Medicare 123

Fierce Healthcare

FEBRUARY 17, 2023

Becerra charges insurer claims of Medicare Advantage pay cuts 'categorically false' rking Fri, 02/17/2023 - 10:13

Medicare 123

Medicare Medicare 123

Fierce Healthcare

JANUARY 17, 2023

CMS data: Medicare Advantage tops 30M. Tue, 01/17/2023 - 14:45.

Medicare 109

Medicare Medicare 109

Fierce Healthcare

JANUARY 25, 2023

Medicare Advantage plans brace for final controversial risk adjustment rule by Feb. 1 rking Wed, 01/25/2023 - 15:39

Medicare 125

Medicare Medicare 125

Fierce Healthcare

APRIL 5, 2023

CMS finalizes changes to Medicare Advantage star ratings, prior authorization reforms rking Wed, 04/05/2023 - 16:14

Medicare 120

Medicare Medicare 120

Fierce Healthcare

JANUARY 10, 2023

Medicare Advantage, telehealth expansion allies to helm key House panels. Tue, 01/10/2023 - 17:25.

Medicare 117

Medicare Medicare 117

Fierce Healthcare

DECEMBER 20, 2023

Among our most-read stories of the year, one topic clearly rose to the top: Medicare Advantage. Many of the most-read health insurance stories from Fierce Healthcare in 2023 center on Medicare Advantage.

Medicare 113

Medicare Medicare Health Insurance 113

Fierce Healthcare

MARCH 23, 2023

New bill aims to make Medicare cover breakthrough medical devices for 4 years rking Thu, 03/23/2023 - 16:45

Medicare 123

Medicare Medicare 123

Fierce Healthcare

MAY 3, 2023

Medicare Advantage enrollment officially crosses 50% of beneficiaries: KFF pminemyer Wed, 05/03/2023 - 14:12

Medicare 113

Medicare Medicare 113

Fierce Healthcare

MAY 3, 2023

How a Medicare-X model could impact patients, hospitals: Urban Institute fdiamond Wed, 05/03/2023 - 16:40

Medicare 116

Medicare Medicare Hospitals 116

Fierce Healthcare

APRIL 12, 2024

Any contentment about compensation gains was undercut by the effects of high inflation rates throughout 2023 and Medicare reimbursement cuts, according to Medscape's 2024 physician compensation report.

Medicare 131

Medicare Medicare 131

Fierce Healthcare

FEBRUARY 27, 2023

Medicare Advantage patients account for fewer avoidable hospitalizations. Here's why rking Mon, 02/27/2023 - 17:41

Medicare 113

Medicare Medicare Hospitals 113

HIPAA Journal

APRIL 27, 2023

The Centers for Medicare & Medicaid Services (CMS) has started notifying certain Medicaid beneficiaries about an impermissible disclosure of some of their protected health information due to a mailing error at one of its contractors. The CMS believes that the risk of identity theft and Medicare fraud is minimal.

Medicare 111

Medicare Medicare Medicaid Medicaid 111