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Humana Reports Third Quarter 2023 Financial Results; Affirms Full Year 2023 Adjusted EPS Guidance

Reports 3Q23 earnings per share of $6.71 on a GAAP basis, Adjusted EPS of $7.78; reports YTD 2023 EPS of $24.26 on a GAAP basis, $26.10 on an Adjusted basis

Reflects outperformance in the. ....

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Humana reports strong start to the year

Humana reports strong start to the year
insurancenewsnet.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from insurancenewsnet.com Daily Mail and Mail on Sunday newspapers.

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CMS Risk Adjustment Data Validation Final Rule

Centers for Medicare and Medicaid Services released the final rule on risk adjustment data validation audits of Medicare Advantage organizations. There are three key components of the Final Rule and requires MAOs to remit improper payments identified during RADV audits. ....

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CMS Finalized Rule on Medicare Advantage RADV Audits

The Centers for Medicare and Medicaid Services finalized a rule on Medicare Advantage Risk Adjustment Data Validation audits eliminating the fee for service adjuster from CMS’s methodology for extrapolating audit findings but limits extrapolation to plan years 2018 and beyond. ....

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CMS Releases Final Rule for Risk Adjustment Data Validation Audit Methodology | Ballard Spahr LLP

On January 30, 2023, CMS posted for inspection a final rule describing its Risk Adjustment Data Validation audit methodology (the Final RADV Rule). As we have discussed in prior alerts,. ....

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