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Monthly Archives: April 2022

CMS Announces Proposed Rule Implementing Important Medicare Enrollment Changes

This week, the Centers for Medicare and Medicaid Services released a much-anticipated proposed rule implementing important changes implemented by the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act, key provisions of which were included in the Consolidated Appropriations Act, 2021 (CAA), which was signed into law on December 27, 2020. […]

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Government Watchdog Reports Medicare Advantage Denying or Delaying Medically Necessary Care

Today, the Department of Health and Human Services Office of Inspector General (OIG) released a report showing that Medicare Advantage (MA) plan use of prior authorization sometimes delayed or denied beneficiary coverage or provider payment for Medicare-covered services. Such delays or denials can cause negative health outcomes, increase costs and […]

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KFF Report Highlights State Differences in Access to Medicare’s Low-Income Programs  

Medicare provides vital health coverage, but the program’s high premiums, deductibles, and other cost-sharing requirements can put care out of reach, particularly for people with limited incomes. Some who need help paying for coverage and prescription drugs may qualify for Medicare’s low-income assistance programs. This includes the Medicare Savings Programs […]

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President’s Budget Highlights Need for Medicare Coverage of Behavioral Health and Vaccines 

Last week, the Biden-Harris Administration submitted its annual budget request to Congress. While presidential budget requests are not binding on Congress and do not directly lead to any program or funding changes, they are important policy documents that articulate an administration’s goals and values. This year’s budget includes significant highlights […]

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