Applied Policy Appoints Brittany La Couture as VP of Health Policy
Applied Policy names Brittany La Couture as VP of Health Policy, leveraging her Medicare Advantage and CMS expertise to enhance pharmaceutical reimbursement strategies.
Medicare Enrollment Strategies and Coverage Options for Federal Retirees
Explore critical Medicare enrollment deadlines, coverage coordination with FEHB, and plan options for federal retirees to optimize benefits and manage costs.
Villages Health System Files Chapter 11 Amid $350M Medicare Overbilling Probe
Villages Health System files Chapter 11 bankruptcy following a $350 million Medicare overbilling investigation amid increased Medicare Advantage audits and tighter regulatory scrutiny.
Medicare Advantage Enrollment Risks: Medigap Underwriting and Switching Limits
Explore the implications of enrolling in Medicare Advantage plans and later switching to original Medicare with Medigap, focusing on medical underwriting and enrollment restrictions that impact U.S. beneficiaries.
Alignment Healthcare Wins Court Case Raising Medicare Advantage Star Rating to 4 Stars
Alignment Healthcare successfully raises its Arizona HMO star rating from 3.5 to 4 stars after a federal court ruling, impacting Medicare Advantage member care and CMS bonus payments.
Key Retirement and Medicare Changes in the New U.S. Legislative Bill
Explore the impact of recent U.S. legislation on Medicare, Medicaid, ACA subsidies, and retirement health benefits. Understand key changes affecting coverage, eligibility, and premiums for 2024.
Federal Court Boosts Alignment Healthcare's Medicare Advantage Star Rating to 4 Stars
Federal court ruling increases Alignment Healthcare's Arizona Medicare Advantage HMO star rating from 3.5 to 4 stars, enhancing plan quality recognition and CMS bonus eligibility.
Federal Court Boosts Alignment Healthcare's Medicare Advantage Star Rating
Federal court ruling raises Alignment Healthcare's Arizona Medicare Advantage star rating to 4 stars, impacting quality ratings and bonus payments in 2025.
Trump Administration Advances Medicare Drug Price Negotiation Amid Industry Concerns
The Trump administration proceeds with the third cycle of Medicare drug price negotiations, addressing Part B drug inclusion and sparking pharmaceutical industry concerns about pricing and implementation.
Medicare Cuts Physician GI Procedure Fees Over 22% While Facility Payments Rise
Medicare reimbursement for physician GI procedures fell over 22% (2018-2023), while facility payments to ASCs and HOPDs increased, impacting healthcare economics and physician practice structures.