Demystifying Medicare Advantage Plans
Medicare Advantage plans are a popular alternative to Original Medicare for many seniors who want more coverage and flexibility. But what exactly are Medicare Advantage plans and how do they work?
Medicare Advantage Growth Aggravate Prior Authorization Burdens
Medicare Advantage growth aggravates prior authorization burdens in several ways. Most medical groups, providing care to patients with Medicare Advantage plans, must comply with more prior authorization requirements.
Health Plan Headaches Need Long-term Solutions
Health plan headaches begin with several challenges while navigating the rapidly evolving healthcare landscape. These challenges are driven by a combination of factors, including rising healthcare costs, regulatory changes, technological advancements, and shifting consumer expectations.
Medicaid Growth in 2022/23 and the Impact on Underserved Populations
Medicaid growth has been driven by several factors, including changes in federal policy, public pressure, and a greater understanding of the benefits of Medicaid for underserved populations.
Medicaid Solutions for Addressing Behavioral Health
Children 16 years old and younger and young adults between 17 and 24 years who are leaving a public system of care such as foster care or a residential behavioral health facility are at increased risk of becoming homeless.
States Passing Record Number of Laws Controlling Drug Pricing
A record number of laws have been passed by states this year to increase affordability and access to prescription drugs, according to Kaiser Health News.
AMA Report: 6 Ways States Combat Opioid Epidemic
The American Medical Association on Sept.9 released a report to guide policymakers and states in responding to the opioid epidemic, detailing successful strategies and lessons learned in Colorado, Mississippi, North Carolina and Pennsylvania.
New Study on Lowering Opioid Prescription Challenges
A new study on guidelines aimed at lowering opioid prescriptions to prevent addiction shows the potential success — and challenges — of changing prescribing habits, according to NPR.
Combating Opioid Overprescription
Though the U.S. Justice Department has used data analytics to comb through prescription and billing information to detect healthcare fraud for several years, its recent data-driven approach to tackling the opioid crisis may be its most successful yet.
CMS’s Price Transparency Initiatives for 2020
CMS released three proposed rules on July 29, which include payment updates for outpatient and physician services and expanded price transparency initiatives.