Headlines

Managed Care Plans and COVID-19

The Centers for Medicare and Medicaid Services (CMS) has issued guidance to Medicare Advantage Plans to address their obligations and flexibilities with regards to the emergency caused by COVID-19. This article includes Medicare Advantage special requirements, permissive actions and an Ohio bulletin notifying companies of their obligation to provide access to the healthcare services to

Read More »

CMS Coverage And Payment Information For COVID-19

Late last week The Centers for Medicare and Medicaid Services (CMS) posted information regarding COVID-19 Medicare coverage and payment. This article focuses on coverage for diagnostic tests, vaccines, inpatient hospital care services, quarantines and much more. Please see below post. View Article Here

Read More »

Nursing Home Closures Accelerating

A study by Leading Age recently showed that over 500 nursing homes in the US have closed in the past four years. These closures caused by several factors including, but not limited to, rising costs, pressures from payers and increased competition. This article highlights changes the industry is facing, as well as how managed care

Read More »

Changes To Prior Authorizations This Year

The CMS will be looking to “Free physicians to spend time caring for their patients,” this year according to CMS Administrator Seema Verma. After analyzing thousands of comments received and hosting multiple listening sessions, CMS is looking into solutions this year to improve the prior authorization process. For more on this, see the article below.

Read More »