Search for: "Health Advantage"
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6 Jun 2017, 7:05 am
Freedom Health and Optimum Healthcare took advantage of a new feature of the Medicare Advantage Program called risk adjustment. [read post]
30 Aug 2021, 5:34 pm
James Taylor in claims against Kaiser Health. [read post]
8 Apr 2019, 2:26 pm
Health care providers, health plans, and Medicare and Medicare Advantage Program beneficiaries should note the program changes the Centers for Medicare & Medicare (“CMS”) is implementing through the Medicare and Medicaid Programs; Policy and Technical Changes to the Medicare Final Rule (“Final Rule”) that updates CMS’ governing regulations regarding the Medicare Advantage (MA or Part C) and Medicare Prescription Drug Benefit (Part… [read post]
12 Oct 2009, 3:17 pm
The rule, which is aimed to better serve Medicare Advantage (MA) program (Part C) and Prescription Drug benefit program (Part D) beneficiaries, would clarify program requirements and improve protections for beneficiaries.Some of the proposed changes include strengthening CMS’s qualified drug and health plan identification an [read post]
12 Oct 2009, 3:17 pm
The rule, which is aimed to better serve Medicare Advantage (MA) program (Part C) and Prescription Drug benefit program (Part D) beneficiaries, would clarify program requirements and improve protections for beneficiaries.Some of the proposed changes include strengthening CMS’s qualified drug and health plan identification an [read post]
19 Feb 2013, 11:29 am
Another big player in Medicare Advantage, Universal American Corp. [read post]
29 May 2023, 10:00 am
Health care providers participating in Medicare Advantage plans are increasingly dissatisfied when having to contest the denial of Part C claims. [read post]
13 Feb 2015, 12:00 am
Evidence from Medicare Advantage. [read post]
25 Sep 2011, 12:42 pm
According to the Department of Health & Human Services (HHS) , Medicare Advantage premiums on average will be 4% lower in 2012 than in 2011. [read post]
8 Sep 2021, 6:10 am
Sutter Health’s $90 Million Medicare Advantage Fraud Settlement Like Kaiser, Sutter Health is based in California. [read post]
23 Apr 2019, 9:01 am
Under Medicare Advantage, also known as the Medicare Part C program, Medicare beneficiaries have the option of enrolling in managed healthcare insurance plans called Medicare Advantage Plans (“MA Plans”) that are owned and operated by private Medicare Advantage Organizations (“MAOs”). [read post]
10 Apr 2018, 7:58 am
Medicare Advantage Plans May Soon Offer Personal Care Services (April 10, 2018): On April 2, the Centers for Medicare and Medicaid Services (CMS) announced an expansion of the benefits that private health plans may offer Medicare beneficiaries under the Medicare Advantage (MA) program in 2019. [read post]
17 Nov 2023, 9:11 am
On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). [read post]
11 Apr 2023, 11:05 am
Medicare Advantage plans use a capitation payment system[6] to pay health care providers for services provided to Medicare beneficiaries. [read post]
16 Feb 2011, 8:00 pm
By Jennifer PaineAttorney, Cordell & CordellRead Related Article: Health Insurance and the 60-Day Divorce RuleThere are 5 steps you should take during your divorce to take advantage of COBRA.Sixty days may be all the time you have after your divorce is finalized to request healthcare insurance coverage through your ex-spouse's plan.If you’ve heard about Consolidated Omnibus Budget Reconciliation Act (COBRA) from your ex's employer, then there'Read More... [read post]
20 Dec 2019, 11:37 am
Department of Health and Human Services, issued a report finding billions of dollars in estimated risk adjustment overpayments to Medicare Advantage Organizations (MAOs). [read post]
29 Aug 2012, 1:24 pm
What’s a multibillion-dollar health services company to do when it wants to take advantage of federal small business contracts available only to veteran-owned businesses with much lower annual revenues? [read post]
28 Nov 2023, 5:00 am
A recent report published by the Syntellis Performance Solutions and the American Hospital Association demonstrated a shocking 56% increase in Medicare Advantage (MA) claim denials from January 2022 to July 2023. [read post]
19 Aug 2012, 9:00 am
Taking advantage of such benefits may prove to be a wise investment decision for health care managers. [read post]
21 Sep 2011, 7:00 pm
They work as managed-care policies, either health maintenance organizations (HMOs) or preferred provider organizations (PPOs), and specify the networks. [read post]
