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CMS Proposes Changes to the Medicare Advantage and Part D Programs Aimed at Improving Beneficiary Protections, Access to Care, and Addressing Agent and Broker Compensation | King & Spalding

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. ....

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Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications

Medicare Program; Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly; Health Information Technology Standards and Implementation Specifications
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Contributor: MA Plans Can Leverage Advanced Technology to Shore Up Risk Adjustment Practices

Faced with new government regulations, Medicare Advantage (MA) organizations should be utilizing technology to increase the accuracy of their coding, mitigate their risk, and ensure appropriate care for members. ....

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Humana sues U.S. government for rule that changes how Medicare audits

The government passed the rule earlier in the year and Humana believes it was done so without justification. ....

United States , Mark Taylor , Medicaid Services , Human Services , Centers For Medicare , Us Department Of Health , Louisville Courier , Northern District , Medicare Advantage , Risk Adjustment Data Validation , Some Kentucky ,

NeuroMetrix is expanding its salesforce

NeuroMetrix Q2 results took a hit from challenges related to reimbursement changes at CMS, but Quell Fibromyalgia saw positive trends. ....

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