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The Latest Breaking News from CMS

Bipartisan prior authorization legislation introduced - Roll Call

Some Medicare Advantage plans still require providers to submit requests through fax machines or proprietary payer portals.

Roll Call

After Multiple Strikes, the Biden Administration Forces an Employer to Apply Again for Its Multibillion Dollar Contract

A new contract that requires “labor harmony” could be a model to empower millions who work for federal contractors nationwide.

Capital & Main

Biden's plan to save money on Medicare drugs risks leaving shelves empty, pharmacists say

Biden is campaigning on cutting drug costs for Medicare patients, but independent pharmacists say one strategy makes it unaffordable to keep some brand-name medicines in stock.

Fortune

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Dr. Oday Alsheikh Calls For Reevaluation of Healthcare Economics to Ensure Americans' Access to Care

Dr. Alsheikh points out the major dislocation between social expectations and cost, which do not compute with the economic realities.

International Business Times

Charlotte Motor Speedway unveils changes to NASCAR Roval layout

CMS unveiled the Roval layout in 2018 – a 2.28-mile combination of the oval and an infield road course which added a road course event to the NASCAR playoffs for the first time.

Motorsport

Tennessee, Delaware to become first states to offer free diapers for Medicaid families

Tennessee will soon become the first state in the country to offer free diapers to families enrolled in the state’s Medicaid program after receiving federal approval, state officials have confirmed

The Independent UK

Here's what's holding back Medicaid expansion in Mississippi and other Southern states

More than a million people could get health care if these states would pass laws expanding Medicaid. Most residents want the expansion but entrenched politics stands in the way.

WEKU

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‘Birthing friendly’ label requires little effort by hospitals - Roll Call

A designation aimed at helping consumers pick the best places to give birth applies to the majority of U.S. hospitals.

Roll Call

How the government is trying to stop rogue brokers from plaguing ACA enrollees

Federal regulators are trying to prevent bad actors from switching unknowing consumers' Obamacare coverage. Their fixes risk making enrollment so cumbersome that people won't want to sign up.

WEKU

Analysts revisit Humana stock price targets amid Medicare Advantage hit

Here's what could happen next to Humana shares.

The Street

Most nursing homes don't have enough staff to meet the federal government's new rules

The new rules mean 4 out of 5 nursing homes will need more aides and nurses. Unions hailed the change, but advocates say it's not enough care, while nursing home owners say it's an "impossible task."

WEKU

UnitedHealth stock surges after earnings, Medicare Advantage cost update

UnitedHealth has faced a host of challenges, including a costly cyber-attack.

The Street

Unauthorized ACA plan switches drive call for action against rogue agents

Federal and state regulators are mulling what they can do to thwart the growing problem. Rogue health insurance brokers are switching consumers' plans without permission and collecting the commission.

WEKU

MPs demand ECB watches Yorkshire closely: ‘No return to business as usual’

MPs have called on the England & Wales Cricket Board to monitor Yorkshire closely, apparently out of concern the county will waver in its diversity drive

The Guardian - UK

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The Street

Humana tumbles, UnitedHealth and CVS slide on Medicare Advantage hit

The health insurance sector took yet another blow Tuesday as investors see narrowing near-term profits.

WEKU

ACA health insurance plans are being switched without enrollees' OK

Rogue insurance agents access consumer information on the Affordable Care Act federal marketplace and make the changes. Policyholders can lose their doctors and end up owing back taxes.

Ballotpedia

The 8th-closest California statewide ballot measure since 1908

Welcome to the Friday, March 29, Brew.

Kiplinger

New List Out On Medicare Part B Drugs Eligible for Rebates

Some Medicare beneficiaries may pay lower coinsurance rates from April 1 to June 30 for the drugs, HHS says.

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Kiplinger

HHS Funding Secured As Major Government Shutdown Avoided

With passage of the fiscal 2024 appropriations package, Medicare and Social Security are among the key agencies to receive funding through September 30.

WEKU

Medicare plans can now cover Wegovy for patients at risk of heart disease

This change follows the recent FDA approval of the weight-loss drug for preventing heart attack and stroke in people with overweight or obesity.

Ballotpedia

Mississippi House advances Medicaid expansion with work requirements

The Mississippi House of Representatives passed H.B. 1725 on February 28, 2024, which would expand Medicaid eligibility for people who earn up to 138% of the federal poverty level and meet work requirements.

Capital & Main

‘I’m Not Gonna Let Up Until We See Changes’

Health care exchange workers say the Biden administration should force their employer to provide good jobs.

Kiplinger

Medicare Advantage Enrollment Is Up But Growth Is Slowing

The Medicare Part C plans now account for at least 50% of Medicare enrollment in 26 states.

TechRadar

Overcoming CMS migration technical debt

When migrating to a new Content Management System (CMS), reducing, and mitigating technical debt should be front of mind.

Ballotpedia

South Dakota voters to decide on Medicaid work requirement amendment in Nov. 2024

South Dakota voters will decide on a constitutional amendment that will allow for the state legislature to establish work requirements for certain individuals to receive Medicaid. The amendment will appear on the November 2024 ballot.

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