As CMS prepares to implement tougher risk adjustment data validation audits in Medicare Advantage, payers and providers can take steps to boost their compliance efforts.
Payer
Florida lawmakers are looking to limit residents' ability to sue insurance companies in an effort to decrease costs, the Miami Herald reported March 14.
UnitedHealth Group members have asked a federal appeals court to reassess a former ruling in favor of a UnitedHealth subsidiary they say has led to "disastrous consequences" for employee benefit plans and millions of mental health and addiction patients.
With Medicaid redeterminations set to begin April 1, Google is updating its search engine for beneficiaries to find re-enrollment information where they live.
Blue Cross and Blue Shield of North Carolina is backing bills in the North Carolina Legislature to allow the payer to move some of its assets to a nonprofit holding company, Business North Carolina reported March 13.
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Some of CMS' proposed Medicare Advantage risk adjustment changes will shift resources away from underserved populations, Oak Street Health says.
Humana has completed a $1.25 billion debt offering.
Payers and providers have expressed concerns about CMS' proposed changes to Medicare Advantage risk adjustments and diagnosis coding.
The Medical Group Management Association said it wants to see shorter prior authorization time frames when CMS finalizes its proposed reform rule.
The majority of physicians say prior authorization requirements are a large burden and lead to worse patient outcomes, according to a March 13 survey from the American Medical Association.