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17 Sep 2013, 10:19 am by Adam Kielich
FSAs and HSAs both give employees tax-advantaged opportunities to finance health care costs in a consumer-driven health insurance plan but HSAs are far more advantageous if you have a plan that permits you to open an HSA. [read post]
26 Jul 2023, 5:23 am by Robert Kraft
Soon, we might start seeing more truthful TV commercials for Medicare Advantage plans. [read post]
13 Feb 2018, 12:35 pm by Jerri Lynn Ward, J.D.
“We are focused on addressing the specific needs of beneficiaries and providing new flexibilities for Medicare Advantage plans to offer new health-related benefits. [read post]
22 Aug 2012, 6:55 am by By MICHAEL J. DE LA MERCED
Health Care REIT agreed to pay $14.50 a share for Sunrise Senior Living, a nursing home operator, in the latest deal aimed at taking advantage of an aging populace. [read post]
After a long line of opinions scrutinizing the use of rewards programs offered by providers, the Department of Health and Human Services’ Office of Inspector General (“OIG”) issued Advisory Opinion 22-16 on August 19, 2022– a favorable opinion for the provision of gift cards to Medicare Advantage (“MA’) plan enrollees who complete educational modules as part of an online surgical treatment learning tool. [read post]
23 Feb 2023, 5:00 am by Wachler & Associates, P.C.
Department of Health and Human Services (HHS) through the Centers for Medicare & Medicaid Services (CMS) issued a final rule implementing policies for the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program. [read post]
5 Jan 2015, 4:46 pm by Cynthia Marcotte Stamer
According to the study published January 5, 2015 in the journal Health Affairs, fewer than one-quarter of people newly-eligible for Medicare enrolled in Medicare Advantage from the outset, and these newly-Medicare eligible comprised less than half of all new Medicare Advantage enrollees each year between 2006 and 2011. [read post]
15 Oct 2020, 3:30 am by André den Exter
Continue reading "Protecting the Health of the Elderly"The post Protecting the Health of the Elderly appeared first on Jotwell. [read post]
17 Apr 2007, 8:17 am
One of the great advantages of Harvard Law School is that we are surrounded by terrific graduate schoolsââ'¬Â¦like the School of Public Health. [read post]
9 May 2013, 3:31 am by Cynthia Marcotte Stamer
Group health plans and liability, no-fault and worker’s compensation insurers should confirm they are properly coordinating benefits with Medicare Advantage organizations (MAOs) to avoid a private cause of action for double damages to recover amounts under the Medicare Secondary Payer Act (MSP Act) in light of the U.S. [read post]
8 Apr 2019, 8:57 am by Jerri Lynn Ward, J.D.
The post CMS Increases Rates For Medicare Advantage Payments appeared first on Garlo Ward, P.C.. [read post]
7 May 2019, 2:18 pm by Daily Record Staff
Butler will be responsible for implementing initiatives that will help Lorien Health Services to maintain its competitive advantage, evaluating where the company sits within the market today and how it can continue be an industry ... [read post]
1 Jun 2007, 4:35 pm
From the folks at American Health Lawyers Association comes this week's issue of Health Lawyers News:Top StoriesCMS Implements New Marketing, Education Requirements For PFFS Plans Abby L. [read post]
21 Nov 2018, 6:00 am
Americans who are on Medicare due to serious health conditions have limited health insurance choices. [read post]
31 Mar 2023, 1:22 pm by Nicole Aiken-Shaban and Ellen Pighini
Of note, starting in 2024 and going forward, the No UPCODE Act would require Center for Medicare & Medicaid Services (“CMS”) to: Use two years of diagnostic data in in calculating the risk-adjusted payment rates, rather than the one year reviewed currently; Not consider diagnoses collected from a chart review or health risk assessment when making risk adjustments for health status, a common risk adjustment approach of plans; Establish procedures to provide… [read post]
5 Jan 2015, 8:32 pm by Sabrina I. Pacifici
Nonetheless, the study, published today in the journal Health Affairs, also finds that the share of seniors who switch between traditional Medicare and Medicare Advantage is relatively small, reinforcing the notion that most Medicare beneficiaries make a coverage choice and stick with it. [read post]
22 Aug 2016, 1:22 pm by Debra A. McCurdy
CMS is announcing changes to the Medicare Advantage Value-Based Insurance Design (MA-VBID) model, which is testing how MA plans can use health plan design elements (e.g., supplemental benefits, disease management, or reduced cost sharing) to encourage enrollees with specified chronic conditions to use high-value clinical services or high-value providers that improve quality of care while reducing costs. [read post]
24 Nov 2016, 6:00 am by Bottar Leone, PLLC
They add that water births have no proven benefits for mothers, and that home births may contribute to serious health problems for infants. [read post]