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CMS seeks input on improving transparency in Medicare Advantage

FierceHealthIT

The Centers for Medicare & Medicaid Services is seeking feedback on how to increase transparency around Medicare Advantage and improve data capabilities. |

Medicare 131
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Medicare Advantage analysis sparks infighting at MedPAC meeting

FierceHealthIT

A MedPAC meeting on the status of Medicare Advantage held Friday began with numbers on enrollment and insights into coding diagnoses, before devolving into contentious debate over the quality of th | Spirited disagreement arose during MedPAC's Medicare Advantage sessions on Friday, as members debated the merits of the program.

Medicare 125
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OIG finds $348M in improper Medicare payments for telehealth psychotherapy

Mobi Health News

According to an audit by the Office of the Inspector General, Medicare improperly paid for $580 million of psychotherapy care, including $348 million of telehealth services, during the first year of the COVID-19 public health emergency.

Medicare 231
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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.

Medicare 125
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Medicare Is Cutting 2022 FFS Payments 9.75% & Raising CCM Reimbursements by 54%

Most healthcare systems & medical practices aren’t prepared for Medicare’s changing priorities. This eBook will teach you how to: Increase patient engagement. Combat provider burnout. Get reimbursed for staff time. Bonus: Get the Free 5-Day CCM Mini-Course!

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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.

Medicare 125
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Senators working on legislation to reform how Medicare pays physicians

FierceHealthIT

A bipartisan group of senators announced Friday that they are working on new legislation for “long-term reforms” to physician payments under Medicare and other program changes. | The lawmakers plan to investigate and pass "long-term reforms" that will "ensure financial stability for providers," among other goals.

Medicare 130