Objective: To address concerns about payment adequacy in Medicare Advantage (MA) plans, a 2017 federal policy change increased risk scores and associated capitated payments for community-dwelling ...
Gov. Janet Mills has officially given her final State of the State address. I wrote last week that I had hoped she would ...
The Centers for Medicare & Medicaid Services Feb. 2 revised its approach to determining grandfathering eligibility by ...
CMS clarifies grandfathering rules for Medicaid payment caps, expanding eligibility and freezing approved payment amounts through 2028.
The Consolidated Appropriations Act of 2026 features new language that could change the way that pharmacy benefit managers (PBMs) operate in the US.
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