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Prior Authorization Rates in MA Star Ratings

The Federation of American Hospitals is urging CMS to integrate a quality measure in the MA star ratings system that mandates health plans to report certain prior authorization denial rates, click here.

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CMS Launches Value-Based Care Spotlight Website

During Health Care Value Week last week, CMS introduced the Value-Based Care Spotlight, a website dedicated to promoting understanding and awareness of value-based care (VBC). The platform features re

UHC ‘Self-dealing’

More than just interesting: Untied Health Care 's 'self-dealing' is detailed in a new investigative article. Self-dealing is defined as business it does with itself.  Click here for the details.

HCSC Acquiring Cigna’s Medicare Units

HCSC will acquire Cigna's Medicare units, including Medicare Advantage, Medicare supplement and Medicare drug plans for $3.3 billion. Cigna's size in the MA business is rather small at about 600,000 b

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