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Medicare Advantage health equity factor to shake up ratings.

• Authors : Tepper, Nona

Subjects: *COMMUNITY health services; *HEALTH insurance reimbursement; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 4/8/2024, Vol. 54 Issue 4, p6-6. 1p.

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Health insurers retreat from ACO REACH.

• Authors : Tepper, Nona

Subjects: *HEALTH insurance reimbursement; *HEALTH insurance; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 4/8/2024, Vol. 54 Issue 4, p30-30. 1p.

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Providers unmoved as insurers decry Medicare Advantage rate cut.

• Authors : Hudson, Caroline

Subjects: *LOBBYING; *GOVERNMENT policy; *HEALTH insurance reimbursementCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 3/11/2024, Vol. 54 Issue 3, p32-32. 1p.

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Medicare Drug Plans Can Now Cover Wegovy for Heart Disease.

• Authors : Muller, Madison (AUTHOR)

Subjects: *MEDICARE; *PHARMACEUTICAL services insurance; MEDICARE Part DNOVO Nordisk A/S NOVO Nordisk A/S NOVO Nordisk A/S NVO; CENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 3/22/2024, pN.PAG-N.PAG. 1p.

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CMS Estimates Savings for Patients from Medicare Inflation Rebates.

• Authors : Myshko, Denise

Subjects: *COST control; *MEDICARE; *HEALTH insuranceCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Formulary Watch. 3/26/2024, p1-1. 1p.

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MEDICARE COGNITIVE ASSESSMENTS: Utilization Tripled between 2018 and 2022, but Challenges Remain.

• Authors : Gordon, Leslie V.

Subjects: UNITED States. Government Accountability Office; CENTERS for Medicare & Medicaid Services (U.S.); COGNITION disorders

• Source: GAO Reports. 12/11/2023, p1-37. 42p.

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Viewpoint: CMS Releases FAQs on Section 111 Penalties.

• Authors : Anders, Dean (AUTHOR)

Subjects: *MEDICARE; *MEDICAID; *PAYMENTCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Claims Journal. 11/30/2023, pN.PAG-N.PAG. 1p.

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MEDICAID PROGRAM INTEGRITY: Opportunities Exist for CMS to Strengthen Use of State Auditor Findings and Collaboration.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); MEDICAID; HEALTH insurance

• Source: GAO Reports. 9/21/2023, Preceding pi-39. 40p.

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MEDICARE PART D: CMS Should Monitor Effects of Rebates on Drug Coverage and Spending.

Subjects: CENTERS for Medicare & Medicaid Services (U.S.); MEDICARE; REBATES

• Source: GAO Reports. 9/19/2023, Preceding p1-9. 10p.

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GAO: Rebates Resulted in Medicare Patients Paying More for Drugs Than Plans.

• Authors : Myshko, Denise

Subjects: *GOVERNMENT agencies; *HEALTH insurance; *PHARMACEUTICAL industryCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Formulary Watch. 9/12/2023, p2-2. 1p.

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Hospitals criticize proposed outpatient payment increase, which will be affected by 340B payments.

• Authors : HUT, NICK

Subjects: *MEDICARE; RATES for outpatient services in hospitalsCENTERS for Medicare & Medicaid Services (U.S.)

• Source: hfm (Healthcare Financial Management). Sep2022, Vol. 76 Issue 6, p12-13. 2p.

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NFP Hospitals Get Boost From Medicare Pay Hike.

• Authors : SHIELDS, YVETTE (AUTHOR)

Subjects: *WAGE increases; *HOSPITALS; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bond Buyer. 8/4/2022, Vol. 394 Issue 35755, p1-3. 2p. 1 Black and White Photograph.

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Adjusting Starting Points for Initial Price Offers: The Example of Ibrutinib.

• Authors : Gibbons, Jason B.^1,2 ; Bennett, Charles L.^3,4; Carson, Kenneth R.⁵

Subjects: *CHRONIC lymphocytic leukemia; *ANTINEOPLASTIC agents; *NEGOTIATIONCENTERS for Medicare & Medicaid Services (U.S.)

• Source: American Journal of Managed Care. Apr2024, Vol. 30 Issue 4, p193-196. 4p.

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Take Steps to Prepare for DIR Fee Changes in 2024: Up-Front Payments to Pharmacies Will Be Significantly Lower Starting This Year, Creating Cash Flow Challenges.

• Authors : Jolley, Benjamin

Subjects: *DRUGSTORES; *HEALTH insurance reimbursement; *USER chargesUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Pharmacy Times. Feb2024, Vol. 90 Issue 2, p22-23. 2p.

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Centers for Medicare and Medicaid Services (CMS).

Subjects: *MEDICARE; *MEDICAID; *FINANCIAL planningCENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Dept. of Health & Human Services

• Source: Federal Grants & Contracts. 10/20/2022, Vol. 46 Issue 22, p6-7. 2p.

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Medicare Patients' Health Records Breached in MOVEit Hack.

• Authors : Tozzi, John (AUTHOR)

Subjects: *MEDICARE; *COMPUTER hacking; *COMPUTER hackersCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 7/28/2023, pN.PAG-N.PAG. 1p.

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Medicaid and Medicare Part B spending on immunomodulators and biosimilars.

• Authors : Thompson, Alyssa M.¹ (AUTHOR); Atluri, Swetha¹ (AUTHOR); Price, Kyla N.² (AUTHOR)

Subjects: *MEDICARE Part B; *IMMUNOMODULATORS; *CONSUMER price indexesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Journal of Dermatological Treatment. May2022, Vol. 33 Issue 3, p1762-1764. 3p.

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Psoriasis drugs in the medicare population: dermatologists' spending and prescription patterns.

• Authors : Yang, Jason J.¹ (AUTHOR); Pham, Alexander T.¹ (AUTHOR); Maloney, Nolan J.² (AUTHOR)

Subjects: *MEDICARE Part D; *PSORIASIS; *MEDICARECENTERS for Medicare & Medicaid Services (U.S.) ; UNITED States. Food & Drug Administration

• Source: Journal of Dermatological Treatment. May2022, Vol. 33 Issue 3, p1758-1761. 4p.

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CMS Proposes Streamlining Certain Medicare Conditions of Participation.

• Authors : Wood, Isabella E.¹

Subjects: *MEDICARE; *MEDICAL personnel; *HOSPITALSUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Dec2018, Vol. 34 Issue 4, p6-8. 3p.

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CMS Finalizes Changes to Inpatient Admission Order Requirements: Change may reduce denials of medically necessary inpatient admissions.

• Authors : Polston, Mark¹ ; Gennett, Lauren²

Subjects: *MEDICARE; INPATIENT care; HOSPITAL admission & dischargeUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Sep2018, Vol. 34 Issue 1, p3-6. 4p.

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CMS, HRSA at Odds Over Indigent Medicare Bad Debt: CMS policy conflicts with NHSC loan program Second in three-part series.

• Authors : Polston, Mark¹ ; Strandell, Brittany²

Subjects: *MEDICARE; *MEDICAL personnel; MEDICARE beneficiariesCENTERS for Medicare & Medicaid Services (U.S.) ; NATIONAL Health Service Corps (U.S.)

• Source: Dennis Barry's Reimbursement Advisor. Aug2018, Vol. 33 Issue 12, p3-6. 4p.

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National Health Expenditure Projections 2017-2026.

Subjects: *HEALTH insurance; *MEDICARE; *GROSS domestic productUNITED StatesCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Medical Benefits. May2018, Vol. 35 Issue 5, p1-2. 2p.

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States Advancing All‐Payer Health Equity Approaches and Development Model (CMS).

Subjects: *MEDICARE; *MEDICAID; HEALTH equityCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Federal Grants & Contracts. 12/7/2023, Vol. 48 Issue 1, p7-7. 1p.

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Medicare Advantage insurers face high marketing stakes.

• Authors : Tepper, Kara Hartnett And Nona

Subjects: *INSURANCE companies; *HEALTH insurance reimbursement; *HEALTH insuranceCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Modern Healthcare. 11/7/2022, Vol. 52 Issue 21, p16-16. 1p.

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Medicare Wants to Claw Back $4.7 Billion From Private Health Insurers.

• Authors : Tozzi, John (AUTHOR)

Subjects: *INSURANCE companies; *MEDICARE; *INVESTORSCENTERS for Medicare & Medicaid Services (U.S.)

• Source: Bloomberg.com. 1/31/2023, pN.PAG-N.PAG. 1p.

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