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1593 Articles Matching "medicare"

Oscar Health to launch Medicare Advantage plans in 2020 with Alphabet investment

Aug 15, 2018 , Modern Healthcare Breaking News
A $375 million investment from Google's parent company, Alphabet, will help Oscar Health launch Medicare Advantage plans and deepen its presence in the individual and small-business...
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Google Bets $375M On Medicare Advantage With Oscar Health Stake

Aug 15, 2018 , Forbes
Google-parent Alphabet plans to invest $375 million into Oscar Health to help the insurer expand into the Medicare Advantage...
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ACO Advocates Issue Warning About Program Overhaul

Aug 15, 2018 , Healthcare Business News
Aug. 13—A proposed overhaul of Medicare’s primary accountable care organization (ACO) program could cause massive departures, advocates for the entities warned soon after it was issued....
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Different Takes: Imagine If ‘Medicare For All’ Is Cheaper Than Current Health System; Young And Grateful For Short-Term Plans

Aug 14, 2018 , Kaiser Health News
Editorial pages examine these and other health insurance...
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No, It Isn't Impossible To Find A Doctor Who Takes Medicare

Aug 14, 2018 , Forbes
You've probably heard that it is impossible to find a doctor who will take Medicare. It isn't...
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Cardon Children's Medical Center

Ample Partners For Rite Aid After End To Albertsons Deal

Aug 11, 2018 , Forbes
Rite Aid has ample opportunities to partner with health insurers and grow its EnvisionRx PBM into new Medicare Part D markets following the decision to end its merger with...
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CVS-Aetna Deal Nears Antitrust OK As Drug Plan Divestitures Loom

Aug 10, 2018 , Forbes
CVS Health executives appear confident the acquisition of Aetna will survive antitrust scrutiny though there may be divestitures where the two sell overlapping Medicare drug...
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Medicare Part B change could lead to increased hospitalizations

Aug 10, 2018 , Modern Healthcare Breaking News
The CMS' move to allow Medicare Advantage plans to require patients to try low-cost generic drugs before more expensive therapies on Part B could lead to poor health outcomes, causing an increase in ED use and inpatient admissions, providers...
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CMS Official: Logistical Limits Restricting New Payment Models

Aug 10, 2018 , Healthcare Business News
Aug. 8—Medicare has not approved more alternative payment models—despite calls by many hospitals and physicians for more of them—due to limits in time, staff, and funding, a Medicare executive said....
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Medicare To Overhaul ACOs But Critics Fear Less Participation

Aug 10, 2018 , Kaiser Health News
The moves could lead to a dramatic decrease in hospitals and doctors participating in the program, industry officials...
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Pharmacy-Made Pain Creams Flagged On Fears Of Medicare Fraud And Risk

Aug 09, 2018 , Kaiser Health News
Inspector general identifies possible problems in nearly 23 percent of pharmacies that bill Medicare for blended creams, gels and...
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AMA warns CVS-Aetna merger will raise drug plan, PBM prices

Aug 09, 2018 , Modern Healthcare Breaking News
An American Medical Association analysis determined the CVS-Aetna merger would substantially weaken competition and raise prices for Medicare Part D prescription drug plans and pharmacy benefit management...
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U.S. to boost drug price negotiation in Medicare Advantage health plans

Aug 08, 2018 , Reuters
The Trump administration said on Tuesday it would give Medicare Advantage health plans for the elderly new tools to negotiate for lower prescription drug prices....
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Trump administration opens up more drugs covered by Medicare to price negotiations

Aug 08, 2018 , CNBC Health
The Centers for Medicare & Medicaid Services will allow Medicare Advantage plans to negotiate prices of medicines covered under Medicare Part B, which covers drugs typically administered by a...
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Shopping For Health Insurance Before Medicare Kicks In

Aug 08, 2018 , Forbes
In this excerpt from Steve Vernon's book, 'Retirement Game Changers,' the author offers tips for keeping health coverage before getting...
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Democrats Tout $2 Trillion In Savings From ‘Medicare For All,’ But Author Of Cost Analysis Cries Foul

Aug 08, 2018 , Kaiser Health News
The Washington Post fact checks some Democrats' talking point that a recent working paper supports the idea that the proposal by Sen. Bernie Sanders (I-Vt.) would save $2 trillion in health care spending. To get to that number, one would need to make unrealistic assumptions, the report's author says....
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Medicare Advantage change may lower Part B drug prices

Aug 08, 2018 , Modern Healthcare Breaking News
The CMS is waiving an Obama-era guidance that prohibited Medicare Advantage plans from imposing prior authorization requirements on Part B...
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IPPS Rule Includes Pay Bump, Reporting Simplification

Aug 08, 2018 , Healthcare Business News
Aug. 6—More than 3,000 hospitals will receive an average increase of nearly 3 percent in their Medicare inpatient payment rates—along with a slew of policy changes—under a recently issued final...
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Medicare appeals backlog plummets more than 30% since 2017

Aug 07, 2018 , Modern Healthcare Breaking News
HHS revealed it has made progress reducing its Medicare appeals backlog and won't need to pursue the AHA's suggestions to expedite pending cases. But the agency conceded it won't be able to meet a federal judge's requirement to eliminate the...
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One Of Nation’s Largest Hospital Systems Agrees To $65M Settlement Over Medicare Overbilling Allegations

Aug 07, 2018 , Kaiser Health News
Prosecutors had alleged that Prime Healthcare Services unnecessarily admitted Medicare patients who were being treated at the emergency rooms of several hospitals in its system. Medicare pays more for patients who are admitted to hospitals than those who are treated as...
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