The Centers for Medicare & Medicaid Services (CMS) wiped away the agency's stated intentions for the future of Medicare Advantage (MA), underlining new uncertainty for the future of health-related social needs, CMS Innovation Center models and the federal health program.
In mid-December, the CMS announced it was discontinuing the Value-Based Insurance Design (VBID) model at the end of this year. Participating organizations would no longer use a hospice benefit through Medicare Part A starting Jan. 1, 2025...
...Many health policy prognosticators believe the Trump administration will be friendly to MA. CMS Administrator nominee Mehmet Oz, M.D., co-authored an op-ed calling for "Medicare Advantage for All."
Still, it appears the Trump administration and Republican lawmakers are comfortable trying to crack down on the largest companies in the space in the name of waste, fraud and abuse. The Department of Justice (DOJ) is scrutinizing UnitedHealth Group's billing practices in MA to see whether the company engages in upcoding. The Federal Trade Commission is also continuing its investigations and legal actions against pharmacy benefit managers.
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In mid-December, the CMS announced it was discontinuing the Value-Based Insurance Design (VBID) model at the end of this year. Participating organizations would no longer use a hospice benefit through Medicare Part A starting Jan. 1, 2025...
...Many health policy prognosticators believe the Trump administration will be friendly to MA. CMS Administrator nominee Mehmet Oz, M.D., co-authored an op-ed calling for "Medicare Advantage for All."
Still, it appears the Trump administration and Republican lawmakers are comfortable trying to crack down on the largest companies in the space in the name of waste, fraud and abuse. The Department of Justice (DOJ) is scrutinizing UnitedHealth Group's billing practices in MA to see whether the company engages in upcoding. The Federal Trade Commission is also continuing its investigations and legal actions against pharmacy benefit managers.
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CMS deletes Medicare Advantage vision statement, signaling another shift from health equity
The Centers for Medicare & Medicaid Services (CMS) wiped away the agency’s stated intentions for the future of Medicare Advantage (MA), underlining new uncertainty for the future of health-rela | The CMS quietly deleted the agency's forward-looking vision on Medicare Advantage, seemingly...
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