From Medicare Advantage News - The first phase of a new provider directory accuracy pilot conducted by CMS’s Medicare Drug & Health Plan Contract Administration Group (MCAG) has turned up some concerning findings, namely the “excessive number” of providers listed in online directories that aren’t at those locations, according to officials who spoke at the Medicare Advantage and Prescription Drug Plan fall conference on Sept. 8. Read more
From Medicare Advantage News - After a surprising policy suspension that gave sanctioned plans like Cigna Corp. a break on their star quality ratings, CMS now is considering several adjustments to the star ratings program to account for sanctions and other actions, and floated three potential changes by attendees at its Medicare Advantage and Part D fall conference on Sept. 8. At the same time, the agency has made a series of tweaks to the… Read more
From Medicare Advantage News - In its second year of expansion under the Affordable Care Act, Kentucky’s Medicaid program saw significant increases in outpatient utilization and preventive care, reductions in emergency department use and improvements in health care quality and self-reported health, according to new research posted Aug. 8 to the JAMA Internal Medicine website. Yet a proposal presented in June by newly elected Gov. Read more
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