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Top News In Medicare Alliance Today - Breaking & Trending Today

CMS Finalizes Rule Streamlining Prior Authorization Process

CMS finalized a rule on Wednesday that included set deadlines for affected payers to complete prior authorization requests. Several organizations came out in support of the rule. ....

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Medicare Advantage analysis sparks infighting at MedPAC meeting

Medicare Advantage analysis sparks infighting at MedPAC meeting
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CMS Proposed Rule Tamps Down On MA Predatory Marketing

CMS proposed a new rule that would set a flat amount $632 that MA plans can pay agents and brokers when they help enroll a person into any MA plan. The proposed rule also addresses behavioral health access and prior authorization. ....

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SCAN, Alignment tailor Medicare Advantage plans for diverse groups

SCAN, Alignment tailor Medicare Advantage plans for diverse groups
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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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