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Heightened Healthcare Utilization Among Patients With Fibromyalgia

A significantly higher number of total outpatient clinic visits was observed in patients with fibromyalgia compared to controls. ....

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HHS Updates 2024 Medicare Advantage Program and Part D Payment Policies

HHS released the Calendar Year 2024 Medicare Advantage and Part D Rate Announcement that finalized payment policies for these programs. ....

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Stakeholders support CMS' plan to phase in risk adjustment over 3 years

Health insurers and stakeholders have expressed support for the Centers for Medicare and Medicaid Services' plan to phase in changes to the risk adjustment model over three years, in the 2024 Medicare Advantage Program and Part D Payment Policies released Friday. The model changes will begin in 2024, with the full brunt of phased-in risk adjustment to take effect in 2026, ....

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Medicare Advantage plans get a 3.32% increase in final payment rates

The Centers for Medicare and Medicaid Services anticipates a payment increase for Medicare Advantage plans of 3.32% from 2023 to 2024, which is approximately a $13.8 billion increase in MA payments for next year, according to the 2024 Medicare Advantage and Part D Rate Announcement finalized payment policies released late Friday afternoon. This compares to the 1.03% increase ....

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Flurry of Medicare Advantage regulation likely to hit nursing home coffers

Federal efforts to rein in Medicare Advantage will likely lead to even more financial pressure on nursing homes, according to experts who monitor managed care. ....

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