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The Dark Side of Medicare Advantage Plans

Nurse Practitioners in Business

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

Medicare 397
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What you need to understand about Medicare cuts

Nurse Practitioners in Business

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” In fact, at 66 years old, I am a beneficiary of Medicare Part B and a Medigap plan. And many have strong opinions on this.

Medicare 221
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MEDICARE PART B PREMIUMS TO DECREASE IN 2023

Elder Care Matters

Medicare Part B Premiums to Decrease in 2023 For the first time in over a decade, the Centers for Medicare and Medicaid Services announced that Medicare beneficiaries will enjoy a lower premium in 2023.

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Medicare Care Compare: Publicly reported performance measures

American Nurse

Takeaways: To help patients and their families make informed decisions about choosing health care, the Centers for Medicare and Medicaid Services (CMS) publicly reports quality performance measures. Medicare, the largest payer of medical expenses in the United States, provides primary health insurance for more than 60 million beneficiaries.

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Significant Change in Medicare Enrollment Risk Categories for SNFs

Healthcare Law Insights blog

The Affordable Care Act mandated that the Centers for Medicare and Medicaid Services (“CMS”) establish risk categories for Medicare enrollment, which are used by CMS to determine what level of scrutiny to give provider enrollment applications, which includes initial enrollment, change of ownership (“CHOW”) applications, and revalidations.

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2023 Regulatory Advocacy Roundup

Capitol Beat

Not surprisingly, the main focus of advocacy is the federal Department of Health and Human Services (HHS) and its subagency, the Centers for Medicare and Medicaid Services (CMS). CMS is strengthening the Medicare Diabetes Prevention Program (MDPP) , which ANA supports.

APRN 73
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5 Key Healthcare Trends Affecting Nurse Practitioners in 2023

Health Leaders | Nursing

Growing demand for nurse practitioners (NPs) is among the profession’s key trends for 2023, its national organization says. Indeed, at the recent 2023 AANP Health Policy Conference, attendees heard from Jennifer Kiggans , an NP serving her first term in the U.S. The perspective of the NP is very important.”