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Insurers Nervously Await Proposed Medicare Advantage Rates
The health insurance industry will be closely watching on Friday when the CMS is scheduled to release initial guidance on Medicare Advantage rates for 2015.
The health insurance industry will be closely watching on Friday when the CMS is scheduled to release initial guidance on Medicare Advantage rates for 2015. The trade group America's Health Insurance Plans has been waging an aggressive marketing campaign, called “Seniors Are Watching,” in Washington and beyond to stave off rate cuts.
Insurers anticipate unfavorable news. In a recent filing with the Securities and Exchange Commission, Humana said it expects a cut of 6% to 7% for 2015, up from the 4% to 5% previously anticipated.
But even if the CMS proposes cuts, they won't necessarily go through. Last year, the CMS initially proposed a 2.2% cut. But after heavy lobbying by insurers, the Obama administration—which needs insurance industry support for Obamacare—increased rates by 3.3%.
Read the full story here: http://bit.ly/1f9kTma
Source: Modern Healthcare
Navigating Health Literacy, Social Determinants, and Discrimination in National Health Plans
February 13th 2024On this episode of Managed Care Cast, we're talking with the authors of a study published in the February 2024 issue of The American Journal of Managed Care® about their findings on how health plans can screen for health literacy, social determinants of health, and perceived health care discrimination.
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What We’re Reading: Abortion Privacy Rules; Alzheimer Drug Hurdles; Nursing Home Staffing Overhaul
April 23rd 2024New health privacy rules aim to protect patients and providers in an evolving abortion landscape; some physicians express concerns about efficacy, risks, and entrenched beliefs in treating Alzheimer disease; CMS addresses longstanding staffing deficits in nursing homes.
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Drs Raymond Thertulien, Joseph Mikhael on Racial Disparities in Multiple Myeloma Care Access
December 28th 2023In the wake of the 2023 American Society of Hematology Annual Meeting and Exposition, Raymond Thertulien, MD, PhD, of Novant Health, and Joseph Mikhael, MD, MEd, FRCPC, FACP, chief medical officer of the International Myeloma Foundation, discussed health equity research highlights from the meeting and drivers of racial disparities in multiple myeloma outcomes.
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