Dually Eligible News Today

This Week in Washington: Senate Finance Committee chairman sends letters concerning MA marketing practices; Senate Committee on Aging holds hearing on assisted living facilities; CMS...

On November 6, 2023, CMS released a pre-publication version of a proposed rule (Proposed Rule) that is set to publish in the Federal Register on November 15, 2023, and that would amend...

Former Optum executive Matt Nyquist has joined Lifespark as its chief population health officer and will lead the design, development and management of the company's global risk products and market expansion. In an announcement, Lifespark framed the move as a push to reduce costs for seniors and providers. Lifespark, formerly Lifesprk, is a senior health company headquartered

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...

Department of Health and Human Services' Centers for Medicare and Medicaid Services issued the following fact sheet:. CY 2023 Medicare Advantage and Part D Final Rule. CMS is issuing a final rule that advances CMS' strategic vision of expanding access to affordable health care and improving health equity in Medicare Advantage and Part D through lower...

Continuing our series analyzing the recently proposed Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rules (Proposed Rule)...

Continuing our series analyzing the recently proposed Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs rules...

On December 3, 2020, Centers for Medicare & Medicaid Services (“ CMS”) announced key details concerning a new value-based reimbursement and patient care model – the Geographic Direct Contracting Model (the “ Model” or “ Geo”). Geo is a geographic-based approach to value-based Medicare reimbursement and patient care that focuses on improving health outcomes and decreasing the cost of care across an entire geographic region. Direct contracting entities (“ DCEs”) participating in...