Healthcare Dive1d
CMS proposes new guardrails on Medicare Advantage prior authorizations, marketing
The Biden administration is attempting to push through a slew of reforms to the controversial MA program in its final months ...
Medpage Today on MSN1d
Medicare Advantage Plans' Prior Auth Rules Would Be Made Public Under CMS Proposal
Medicare Advantage plans' prior authorization rules and coverage criteria would become publicly available under a proposed ...
Alternet on MSN1d
New Biden rule would rein in Medicare Advantage — but will Dr. Oz let it stand?
The Biden administration on Tuesday unveiled a new rule aimed at reining in privatized Medicare Advantage plans, which have ...
McKnight's Long-Term Care News1d
BREAKING: CMS proposes more Medicare Advantage ‘guardrails’
The Centers for Medicare & Medicaid Services announced Tuesday it is pursuing further limits on Medicare Advantage plans’ use ...
aha.org1d
CMS releases proposed rule for 2026 Medicare Advantage, prescription drug plans
The Centers for Medicare & Medicaid Services Nov. 26 proposed changes to increase oversight of the Medicare Advantage and ...
Becker's ASC21h
CMS' proposed changes to Medicare Advantage: 10 things to know
On Nov. 26, CMS proposed reforms to the Medicare Advantage and Part D programs for contract year 2026, including changes to prior authorization and GLP-1 coverage. Here are 10 things ASC leaders and ...
Medicare Would Cover Ozempic and Wegovy Under Biden Proposal—Here's What That Means
The Biden administration proposed a rule to let Medicare and Medicaid cover obesity drugs like Ozempic. Millions would ...
Indiatimes2m
Indian-origin neurosurgeon in US fined over $2 million for medicare fraud involving fake surgeries
Indian-origin neurosurgeon Dr Rajesh Bindal from Houston has been fined over $2 million for fraudulently billing Medicare and ...
Biden wants Medicare, Medicaid to cover pricey weight loss drugs such as Wegovy
The Biden administration wants to expand coverage of anti-obesity medications to millions on Medicare, Medicaid.
Could changes be coming to Medicare, Medicaid with Dr. Oz leading CMS?
Donald Trump tapped Dr. Oz to lead the CMS. Could changes be coming to Medicare and Medicaid, which are run by the federal ...
aha.org1d
CMS issues final rule for mandatory organ transplant payment model
The Centers for Medicare & Medicaid Services Nov. 26 released a final rule for the Increasing Organ Transplant Access Model.
JD Supra2d
CMS Finalizes Changes to the Medicare Parts A and B Overpayment Rule
the Centers for Medicare & Medicaid Services (CMS) finalized changes to the Medicare Parts A and B Overpayment Rule that were proposed in two prior rulemakings. This alert provides a summary of the ...