Medicare Advantage (MA) is facing one of its most significant regulatory pivots in years. At the center of this shift, there is a renewed focus on how risk adjustment is used to determine plan payments. Under the leadership of CMS…
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Tag: CMS
Medicare Prior Authorization: Balancing Patient Care and Administrative Burden
Prior authorization often delays care and burdens workflows. A dedicated pharmacy team can reduce strain and improve satisfaction.
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Medicare Telehealth Flexibilities Expire: What You Need to Know
Many of the Medicare telehealth flexibilities that were introduced during the COVID-19 public health emergency are no longer in effect.
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Advanced Primary Care Management: Elevating the Role of the Primary Care Provider
Advanced Primary Care Management services introduce new codes that reimburse providers for delivering advanced primary care.
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What Providers Must Know About the 2026 Medicare Physician Fee Schedule Proposed Rule
The 2026 Medicare Physician Fee Schedule Proposed Rule delivers updates aimed at refining Medicare Part B payments while emphasizing value and efficiency.
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CMS Launches $50 Billion Rural Health Transformation Program: What Medicaid Providers in North Carolina Need to Know
The Rural Health Transformation Program offers states funding to modernize rural care, expand access, and reduce health disparities.
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