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26 Feb 2016, 1:40 pm by Debra A. McCurdy
CMS also solicits comments on challenges associated with the use of alternative payment models in Medicare Advantage. [read post]
24 Jun 2015, 11:25 am by Debra A. McCurdy
The House of Representatives has taken action on a number of bills to modify certain Affordable Care Act (ACA) provisions, revise Medicare Advantage policies, and make other health policy changes. [read post]
7 Jun 2022, 8:54 am by Matthew Loughran
Reed Smith will continue to follow developments in the regulation of Medicare Advantage and Part D plans if you have any questions about this or any other CMS regulations please reach out to the health care lawyers at Reed Smith. [read post]
13 Apr 2016, 11:01 am by Debra A. McCurdy
CMS has issued its final 2017 Medicare Advantage (MA) and Part D Rate Announcement and Call Letter, which includes a series of policy and payment changes related to these programs. [read post]
21 May 2009, 1:11 pm
The proposed advantages include administrative simplicity for patients and providers, and resulting significant savings in overhead costs. [read post]
13 Sep 2011, 3:00 am by Kyle Krull
They work as managed-care policies, either health maintenance organizations (HMOs) or preferred provider organizations (PPOs), and specify the networks. [read post]
13 Nov 2023, 2:44 am by Edgar (aka MrConsumer)
Their Premier Choice advantage plan used to provide free diagnostic colonoscopies, but for 2024 they added a $275 copay. [read post]
17 Nov 2020, 1:40 pm by Peter Briccetti
A whistleblower lawsuit filed against a prominent Washington state health care provider, Kaiser Foundation Health Plan (formerly known as Group Health Cooperative, or GHC) was settled on November 16. [read post]
6 Mar 2011, 8:59 am by Ray Mullman
Behrman Capital announced that its Ark Holdings Inc. platform of skilled nursing homes has acquired HMR Advantage Health Systems, a South Carolina-based owner and operator of long-term care centers, for a total consideration of $143.8 million. [read post]
25 Jun 2014, 9:00 am by Jennifer B. Van Regenmorter
Due to regulatory and reimbursement constraints, health care providers are increasingly merging, affiliating, and acquiring other health care entities. [read post]
13 Oct 2023, 2:33 am by Mary Anne Peck
Earlier this year the governor announced the state would be partnering with the nonprofit pharmaceutical company Civica Rx to produce its own insulin, which it plans to sell for $30. ( ASSOCIATED PRESS , STATE NET) Physician Group Claims Insurers Overcharging for Medicare Advantage American taxpayers are overpaying for Medicare Advantage, or Medicare Part C—under which insurance companies are paid by the federal government to manage patient care—by at least $88 billion… [read post]
31 Aug 2011, 9:08 am
Meek-Horton took umbrage and brought suit against the plan, Healthfirst, Inc., its agent, Trover Solutions, and 40 other defendants as well as other unnamed Medicare Advantage Health Insurance Companies, claiming that such subrogation efforts violate New York State Genl. [read post]
3 May 2007, 6:15 am
The Medicare for all proposal.Methinks she does not understand just how poorly Medicare works and how expensive it is for both the taxpayer and the beneficiaries.Granted, to receive Medicare you do not have to qualify from a health standpoint, but you still must have the funds to fully take advantage of the system.Only Part A is "free" and even that comes with a price in the form of deductibles & coinsurance. [read post]
2 Feb 2011, 8:30 am by Medicare Set Aside Services
A careful read of 42 U.S.C. 1395y(b)(2)(B) will confirm that Humana, standing in the place of the Secretary of Health and Human Services as an authorized Medicare Advantage plan provider, has the right to make conditional payments, charge interest, and waive recovery rights; however it is only the United States that may bring an action, subrogate or seek recovery of conditional payments within three years of the date of service (another joke that remains in the statute). [read post]
29 Jan 2017, 7:38 am by Scott Riddle
  A simple explanation of a Health Savings Account (“HSA”), from Judge Wiki, is: [An HSA] is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a high-deductible health plan… The funds contributed to an account are not subject to federal income tax at the time of deposit…  HSA funds roll over and accumulate year to year if they are not spent. [read post]
3 May 2012, 6:51 pm
If Alabama Blue were to try and compete for health insurance here they would lose the advantage of their deep network discounts making it impossible to compete against home grown BCBSGA or other health insurance carriers such as Humana, Cigna and other health insurance carriers. [read post]
13 Jan 2008, 1:34 pm
This is one in a series of postings about the advantages of Collaborative Law. [read post]
13 Mar 2011, 6:13 pm by Lisa Law View
On these posters it will be written clearly that an employee who will damage his health due to his own fault will be responsible for his own deed. [read post]
17 Nov 2015, 6:19 am
Those who cry out for "universal health coverage" like other civilized nations need to look no further than U.S. territories. [read post]