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Prior authorization cuts from Cigna, UnitedHealth meet skepticism

Prior authorization cuts from Cigna, UnitedHealth meet skepticism
modernhealthcare.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from modernhealthcare.com Daily Mail and Mail on Sunday newspapers.

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Medicare Advantage star ratings hit from CMS Tukey decried

Medicare Advantage star ratings hit from CMS Tukey decried
modernhealthcare.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from modernhealthcare.com Daily Mail and Mail on Sunday newspapers.

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CMS RADV rule increases Medicare Advantage, provider audits

The Risk Adjustment Data Validation rule, which CMS is expected to finalize Feb. 1, would have significant financial implications for insurers and their provider partners. ....

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CMS aims to clean up Medicare Advantage provider directories

Nearly half of Medicare Advantage plans’ directories contain inaccuracies, according to the most recent federal review. ....

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COVID-19 vaccine, drug costs to burden healthcare industry

Once the federal supply of coronavirus vaccines and treatments runs out, health insurers, employers and pharmacy benefit managers must start negotiating with drug manufacturers over prices. ....

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