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News Topic: Managed Care
3-Day Stay Waiver Remains for ACOs and Managed Care
While the Public Health Emergency (PHE) waiver of the 3-day inpatient hospital stay requirement for Medicare FFS beneficiaries has ended, certain Accountable Care Organizations (ACOs) […]
MA CY2024 Final Rule: Detailed Analysis, Fresh Insights on Timing from CMS
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Senate Hearing Details Coverage Denials, Barriers to Access by MA Plans
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Netsmart Webinar: Navigating Managed Care: A Look at the Future of Value-Based Contracting
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How a PACE Can Help Revitalize an Urban Neighborhood
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VBID Extension to Bring Hospice Flexibilities
Centers for Medicare & Medicaid Services (CMS) released a new Medicare Advantage Value-Based Insurance Design (VBID) Model Extension Fact Sheet on April 5. In March […]
Key Provisions and Clarifications in MA, Part D and PACE Final Rule
The final rule for the Medicare Advantage (Part C), Medicare Prescription Drug Benefit (Part D), Medicare cost plan, and Programs of All-Inclusive Care for the […]
MA Rates Rise for CY2024, Part D Costs to Fall
CMS announced March 31 that Medicare Advantage (MA) plans will receive a 3.32% rate increase for CY2024, as part of CMS’s CY2024 Final Rate Announcement. […]
LeadingAge Interoperability & Prior Authorization Rule Comments
CMS proposed rules in December 2022 on “Advancing Interoperability and Improving Prior Authorization Processes”. If passed, they would establish new requirements for payers – Medicaid, […]