Payer

CMS published its final Medicare Advantage rate notice for 2024 on March 31, moving ahead with changes to risk adjustment payments but phasing in the model over three years. 

AHIP has tapped two new executive vice presidents to lead the trade association's lobbying and communication efforts. 

Just 1 percent of people eligible for Medicare in Alaska are enrolled in Medicare Advantage, according to data from Chartis. 

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. 

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).

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."