Do you need help understanding Medicare? Here is a guide from the Center for Medicare and Medicaid Services. https://lnkd.in/gBmFiX59
Wyoming Department of Insurance’s Post
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Experience with local, state, and federal regulations. PMP, Leadership, RFP, Procurement, Implementation, Quality, Compliance, Waiver, EVV, MCO start up, CM, business analytics, healthcare, dental, and Medicaid.
Great training series for anyone in the HCBS world.
Starting next week: Centers for Medicare & Medicaid Services training series on home and community-based services (HCBS) provisions of Medicaid Access Rule. Dates and more info on the registration page: https://lnkd.in/eeADNFRp
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Come join my team and learn about how Medicare Savings Programs can help adults with Medicare #medicare #medicaresavingsprograms #training
Avisery by AgeOptions invites Medicare and Medicaid professionals to a virtual Medicaid training on May 31 from 10 am – 12 pm. Register by May 27 at https://conta.cc/4aUIiGs.
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PCO Growth Leadership - Sales & Marketing | Raising Visibility & Brand Awareness | Creating Medicare Sales Strategy For Growth
Medicare and Medicaid - Confusing? Yes! That is what your customers are saying too. The following detail will help you and your clients understand the difference between Medicare and Medicaid.
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Next year, payers will need to increase member communication on supplemental benefits, per new rules from Centers for Medicare & Medicaid Services. Find our summary of the changes and ways to reduce related operational challenges: https://lnkd.in/gz6PN7g2
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Dig into the notable takeaways from the policies focused on home- and community- based services (HCBS) in CMS's Ensuring Access to Medicaid Services. What orgs are excluded? How can states prepare? We dish on these questions and more in this week's post. Authors: Jeffrey Davis, Kayla Holgash, Katie Weider Waldo
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Have you seen the Office-Based Facility Association video about the concerning Centers for Medicare & Medicaid Services data? Check it out below to learn about the concerning cuts to certain office-based interventional services.
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Client Success I Product Management/Marketing | Consulting | Healthcare Market Analysis & Strategy | Change Leadership | Data Analysis/Process Improvement | Collaboration | Team Mentoring | Technology Strategy
Per HomeCare Now, The Department of Health and Human Services (HHS) has been ordered to pause any external communications until Feb. 1, according to reports in multiple news sources. That includes regulations, guidance, announcements, news releases, social media and website posts from the Centers for Medicare & Medicaid Services (CMS) and other HHS agencies.
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The comment period for the proposed MA/Part D rule closes today (so there's still time!) AMGA's comments address CMS' proposal to measure the impact of prior authorization (PA) on individuals with specific social risk factors. While PA was designed to manage care and costs, AMGA members frequently lament how it often creates significant barriers for patients and providers. PA delays or denies access to medically necessary care. And should CMS collect the information as envisioned in this rule, I'm confident it will show what we already know... PA disproportionately affects underserved communities and exacerbates health disparities. It's time to move beyond merely reforming PA policies and start reducing their use altogether. Eliminating overly restrictive PA requirements would: ✅ Improve timely access to care for patients, especially those with social risk factors. ✅ Reduce administrative burdens on healthcare providers, enabling more time for patient care. While I appreciate CMS’s efforts to analyze and reform PA, AMGA members have been very clear on this point: The best way to ensure equitable, high-quality care is to streamline the system and reduce the use of PA. What are your thoughts on the future of PA in MA? Share your thoughts below #HealthPolicy #MedicareAdvantage #PriorAuthorization
AMGA today recommended eliminating where possible the use of prior authorization in the Medicare Advantage program. In comments on the Centers for Medicare & Medicaid Services (CMS) Medicare Advantage and Part D proposed rule for 2026, AMGA expressed concern about the burden associated with prior authorization. Read the full release: https://ow.ly/4S9V50UO8PG
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The Centers for Medicare and Medicaid Services released the Medicare Advantage proposed rule for contract year 2026. See key takeaways for plans and providers in this article from Forvis Mazars US: https://lnkd.in/gppihvPr
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Register now for the complimentary webinar “Changes to the Survey Process” and discover the impact of the survey guideline revisions by the Centers for Medicare and Medicaid Services(CMS), which will go into effect in February 2025: https://ow.ly/3Xns50UAXea #FreeWebinar #CMSSurveyChanges
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