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UnitedHealth sued over alleged use of AI to deny elderly patients care

Families of former beneficiaries claim UnitedHealth's AI system "aggressively" rejected claims for medically necessary expenses.

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Cancer Action Network: CMS Proposes a Medicare Prescription Payment Plan to Allow for More Flexible Payment for Patients Under Part D Prescription Plans

Cancer Action Network: CMS Proposes a Medicare Prescription Payment Plan to Allow for More Flexible Payment for Patients Under Part D Prescription Plans
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Renalytix Reports Financial Results for Third Quarter of Fiscal Year 2023

Renalytix Reports Financial Results for Third Quarter of Fiscal Year 2023
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New Medicare Advantage Regulations Add Provider and Beneficiary Protections Against Plan Utilization Management Policies | King & Spalding

On April 5, 2023, the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule (CMS-4201-F) regarding the Medicare Advantage (MA) and Part D programs. The Final Rule includes.

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Medicare Program; Contract Year 2023 Policy And Technical Changes To The Medicare Advantage And Medicare Prescription Drug Benefit Programs; Policy And Regulatory Revisions In Response To The COVID-19 Public Health Emergency; Additional Policy And Regulatory Revisions In Response To The COVID-19 Public Health Emergency – InsuranceNewsNet

Agency: " Centers for Medicare& Medicaid Services, Department of Health and Human Services." This final rule finalizes certain 2021 and 2022 Star Ratings provisions that were included in two interim final rules with comment period that CMS issued on April 6, 2020, and September 2, 2020; other policies from those interim final rules will be addressed in other.

New yorkUnited statesRhode islandRepublic ofState of minnesotaPuerto ricoNew jerseyMelissa seeleyRobertt staffordMarna metcalf akbarJacqueline fordXavier becerraLauram gottliebHugh alderwickHome health quality reporting requirementsHealth care claim payment advice transaction set