Cigna Profits As Medicare Softens Penalty Policy
A new policy preserves Cigna’s access to bonuses while the insurer fixes “widespread” failures in its Medicare plans.
CMS
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Medicare Plans Score Higher Ratings And Millions In Bonuses
The share of Medicare Advantage members enrolled in plans with high star ratings has almost doubled since 2013, earning bonuses for private insurers who offer them.
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Some Dialysis Patients Give Medicare Failing Grade On Ambulance Trial
A Medicare trial aimed at averting billing fraud and waste in nonemergency ambulance service in eight states is drawing complaints from patients’ families and ambulance companies.
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Governor Seeks New Concessions From CMS To Maintain Arkansas’ Medicaid Expansion
Arkansas Gov. Asa Hutchinson will meet with federal officials to negotiate the future of the state’s Medicaid expansion program, which leading Republicans say could be killed if it’s not changed.
By David Ramsey -
Federal Officials Clarify Rules On Getting New Health Coverage After A Move
The new rules should help make sure people understand when they are eligible for a special sign-up period if they move.
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Feds Funding Effort To Tie Medical Services To Social Needs
The goal is to improve health and potentially reduce spending.
By Julie Rovner -
Medicare Penalizes 758 Hospitals For Safety Incidents
More than half of these hospitals were also punished last year as the government tries to leverage taxpayer money to improve the quality of care.
By Jordan Rau -
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California To Revamp Addiction Treatment For Medicaid Recipients
Through what’s known as a drug waiver, state officials will have new spending flexibility as they try to improve outcomes and reduce social and financial costs of people with substance abuse disorders.
By Anna Gorman -
State Obamacare Exchanges ‘Sustainable’ Without Federal Aid, Official Tells Congress
But CMS Acting Administrator Andy Slavitt declines to predict fate of the 13 remaining state exchanges in congressional testimony.
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Don’t Just Renew Your Medicare Plan. Shopping Around Can Save Money.
Enrollment for private Medicare Advantage and Part D drug plans begins Oct. 15 and consumer advocates urge seniors to check out prices to find the best deals.
By Susan Jaffe -
Hospital Care Unaffected By Quality Payments, GAO Finds
The Government Accountability Office found bonuses and penalties have been small, and hospital performance has been steady.
By Jordan Rau -
GAO: More Oversight Needed Over Medicare Advantage Provider Networks
Congressional watchdog says the government checks few health plans to ensure accurate provider listings and adequate access for seniors on Medicare Advantage.