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Payers up against slight decline in 2025 Medicare Advantage payments

FierceHealthIT

Medicare Advantage (MA) payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment. Medicare Advantage payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment.

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Breaking down Biden's 2025 proposed budget: Here are his top health priorities

FierceHealthIT

trillion budget for fiscal year 2025 on Monday, which continued upon and expanded key health items from previous years. Drug price negotiations and Medicare solvency were just two areas HHS officials hit upon while unveiling President Biden's 2025 fiscal year proposed budget. President Biden unveiled a proposed $7.3

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Medicare Advantage rate cut remains as feds keep up pressure

FierceHealthIT

Insurers will feel resentful Monday as the feds opted to not reverse its decision to decrease Medicare Advantage benchmark payments by 0.16%, the Centers for Medicare and Medicaid announced. | CMS is not deviating from its January proposal to modestly rein in Medicare Advantage.

Medicare 143
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Humana reaffirms 2025 guidance as CMS pitches decrease in MA benchmark payments

FierceHealthIT

Humana reaffirmed its guidance in the face of likely cuts in Medicare Advantage payment rates for 2025, despite saying the proposed decrease was higher than it expected.

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New codes from the AMA could mean more RPM reimbursement by 2025

Healthcare IT News - Telehealth

Medicare was the first to cover RPM. If the AMA approves the changes under consideration, and Medicare follows suit, which it usually does, then providers who make modifications and expand their RPM programs to fit the new codes will gain the most benefits for their patients and their clinics. However, the federal agency often does so.

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Cigna inks deal to sell Medicare business to HCSC for $3.7B

FierceHealthIT

Cigna will sell off its Medicare business to Health Care Service Corporation in a deal valued at $3.7 HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025. billion, the company announced Wednesday.

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Part D, Medicare Advantage drug plans must install cost-sharing cap by 2025 in new drug price bill

FierceHealthIT

Part D, Medicare Advantage drug plans must install cost-sharing cap by 2025 in new drug price bill. Wed, 11/03/2021 - 17:25.

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