News

Kokua Line: Why is Medicare double-billing some premiums?
Regarding the Social Security Fairness Act, I am getting my money but now there’s a problem with my Medicare premiums. Is anyone else having these problems ? Are they related ? Answer : Yes, problems ...
Walnut Hill Study Exposes Systemic Medicare Advantage Barriers Causing Delays, Denials, and Patient Abandonment
Study, revealing that Medicare Advantage plans are systematically delaying or denying access to a non-opioid, non-steroidal ...
Health Affairs3d
Tracing The Arc Of Medication Utilization Management Over Time
Efforts to reform utilization management policies must prioritize clinical value, improve transparency, ensure alignment with ...
Wellbeing Whisper on MSN8d
Why Medicare Drug Coverage Is Getting Harder to Navigate and What You Can Do About It
Ever felt like picking up your prescription was more complicated than booking a flight with three layovers? You’re not alone.
MedCity News10d
Why One Leader Is Calling Out Insurers’ Inaction on Prior Authorization
The current prior authorization process in U.S. healthcare constitutes a crisis, according to Jesse Ehrenfeld, immediate past ...
fingerlakes114d
Medicare Advantage bill aims to streamline service: How would it work?
Healthcare providers often cite prior authorization as their top administrative burden. Nearly 75% of Medicare Advantage enrollees face care delays because of it. Senator Kirsten Gillibrand (D-NY), ...
Home Health Care News14d
Lawmakers Reintroduce Bipartisan Bill To Update ‘Outdated’ Medicare Advantage Prior Authorizations
On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare Advantage (MA) plans and cutting through some of ...
Skilled Nursing News14d
Bill Aims to Crack Down on Medicare Advantage Prior Authorizations for LTC, Including Nursing Homes
Legislation to streamline and improve outdated prior authorization processes for Medicare Advantage (MA) was reintroduced this week. The Improving Seniors’ Timely Access to Care Act would require MA ...
Fierce Healthcare16d
Senators reintroduce bill that seeks to reform prior authorization in Medicare Advantage
A bipartisan bill aiming to reform prior authorization has been reintroduced in the Senate. The Improving Seniors' Timely Access to Care Act seeks to streamline the prior auth process in Medicare ...
beckerspayer16d
Lawmakers reintroduce Medicare Advantage prior authorization reform bill
Federal lawmakers have reintroduced the “Improving Seniors’ Timely Access to Care Act,” a bipartisan bill that aims to streamline the prior authorization process for Medicare Advantage enrollees. The ...
TheHendersonNews.com16d
Medicare Moments: Why did I have to sign a Medicare form in the ER?
I had a big surprise when a hospital employee asked me to sign a Medicare form while I was waiting in the ER to see if I was to be admitted as an inpatient or sent home. I was lucky that the doctor ...
Cumberland Times-News17d
Toni King | Why did I have to sign a Medicare form in the ER?
I had a big surprise when a hospital employee asked me to sign a Medicare form while I was waiting in the ER to see if I was to be admitted as an inpatient or sent home. I was lucky that the doctor ...