Enrollees in Medicare Advantage and traditional Medicare use less postacute care in markets with higher Medicare Advantage penetration, a study published in the April issue of Health Affairs found.
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From groups weighing in on CMS' proposed rule to reform the process, to UnitedHealthcare announcing plans to eliminate 20 percent of its current requirements, here are 10 updates about prior authorization Becker's has reported since March 13:
A pair of Senators have introduced a bill aimed at limiting the alleged abusive pricing practices by pharmacy benefit managers, including the spread pricing technique.
From announcing a plan to eliminate 20 percent of its current prior authorization requirements, to its proposed acquisition of a U.K.-based company facing a deeper probe, here are nine updates about UnitedHealth Group that Becker's has reported since March 14:
More Americans than ever are beneficiaries of a Special Needs Plan (SNPs).
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Medicare Advantage outpaced traditional Medicare on most clinical quality measures in 2010 and 2017, a study published in Health Affairs found.
The California Medical Association is pushing back on a paperwork demand reintroduced by Cigna, arguing that the requirement "will result in significant, unnecessary administrative burdens and compliance costs."
Molina Healthcare's CEO was paid $22.1 million in total compensation in 2022, according to regulatory filings the company published March 20.
Rochester, N.Y., and Rio Grande City Texas, have the highest rates of Medicare Advantage adoption, according to an analysis from Chartis.
Leaders in California and Michigan are urging lawmakers to take action to codify preventive care coverage after a Texas judge struck down some requirements for payers to cover preventive services at no cost to members under the ACA.