Restore standardized benefit plans on the federally facilitated Marketplaces eliminated during the Trump Administration and require issuers offering a nonstandardized product to also offer a standardized option. These plans are intended to reduce consumer confusion and allow apples-to-apples comparison of plan options. The standardized plans have only copays (instead of […]
plans
How Medicare Advantage plans wrongly deny prior auth requests
What’s the news: Momentum to fix prior authorization is building in the wake of a Department of Health and Human Services Office of Inspector General (OIG) report showing that Medicare Advantage plans delayed and denied patients’ access to medically necessary treatment. They also denied payments to physicians and other health […]
Federal report finds Medicare Advantage plans often deny necessary care
May 02, 2022 The U.S. Department of Health and Human Services (HHS) released a report on Thursday that found every year Medicare managed care organizations inappropriately deny medically necessary care to tens of thousands of people enrolled in private Medicare Advantage plans. Investigators from HHS Office of the Inspector General (OIG) […]
Medicare Plans To Cut Payments To Nursing Homes
The proposed reduction in payments — announced by the Centers for Medicare & Medicaid Services — is set to remedy an unintended 5% increase in payments for fiscal 2020, the agency said. Also in the news, a Montana hospital for psychiatric patients faces a loss of federal funding. Modern Healthcare: […]
Medicare and Mental Health – Plans, Services, Helplines
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Medicare enrollees face an increased risk of having mental health concerns. Fortunately, Medicare covers counseling, which can help make support more accessible for you. Mental health programs and services are designed to help diagnose and treat mental health needs. As a beneficiary, you can take advantage of depression screenings, counseling […]
Expert names 3 most popular diet plans that do not work for women
In recent years, intermittent fasting has become increasingly popular with people looking to lose weight. Photo : iStock New Delhi: Whether we want to accept it or not, biologically men and women are very different. One of the important differences is in the way men and women use and store […]