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@BGOV
news.bgov.com > bloomberg-government-news > house-panel-passes-bipartisan-pbm-measure-for-federal-benefits

House Panel Approves Bipartisan PBM Measure for Federal Benefits

1+ hour ago   (91+ words) House Panel Passes Bipartisan PBM Measure for Federal Benefits Bloomberg Government News Legislation advanced on a bipartisan basis by the House oversight panel Wednesday aims to regulate pharmacy benefit managers contracting with health benefits for federal employees. The measure (H.R. 6610) would…...

@BGOV
news.bgov.com > bloomberg-government-news > senate-democrats-attempt-to-block-medicare-ai-prior-auth-model

Senate Democrats Attempt to Block Medicare AI, Prior Auth Model

6+ day, 34+ min ago   (77+ words) Bloomberg Government News Senate Democrats attempted to stop a Trump administration experiment allowing prior authorization to be implemented in traditional Medicare using artificial intelligence on Thursday. “Now decisions between doctors and patients are overridden by for-profit AI contractors,” said Sen....

@BGOV
news.bgov.com > bloomberg-government-news > bgov-bill-analysis-h-r-5347-accountable-care-group-metrics

BGOV Bill Analysis: H.R. 5347, Accountable Care Group Metrics

3+ week, 2+ day ago   (78+ words) Bloomberg Government News Accountable care organizations would maintain flexibility in how they can report quality metrics through 2029 under H.R. 5347. ACOs participating in the Medicare Shared Savings Program can share in savings they generate for Medicare if they comply with various requirements,…...

@BGOV
news.bgov.com > bloomberg-government-news > retiring-health-panel-republicans-medicare-bill-passes-house

Retiring Health Panel Republican’s Medicare Bill Passes House

3+ week, 1+ day ago   (54+ words) Bloomberg Government News A bipartisan bill (H.R. 5347) aiming to reduce reporting burdens on groups of physicians and hospitals who coordinate to improve care for Medicare beneficiaries sailed through the House on Monday. Learn more about Bloomberg Government or Log In to…...

@BGOV
news.bgov.com > bloomberg-government-news > sen-ron-wyden-previews-bipartisan-long-term-care-initiatives

Sen. Ron Wyden Previews Bipartisan Long-Term Care Initiatives

2+ mon, 1+ week ago   (123+ words) Bloomberg Government News Sen. Ron Wyden (D-Ore.) plans to unveil fresh incentives for long-term care next week that will have bipartisan appeal, adding Senate Democrats are well positioned to work on healthcare issues in the months ahead. Capitol Hill has…...

@BGOV
news.bgov.com > bloomberg-government-news > senators-urge-trump-to-rein-in-medicare-advantage-upcoding

Senators Urge Trump to Rein in Medicare Advantage Upcoding

3+ mon, 3+ week ago   (88+ words) Bloomberg Government News A bipartisan group of four senators is pushing the Trump administration to crack down on a practice known as upcoding in Medicare Advantage plans, according to a letter obtained by Bloomberg Government. Upcoding is the practice of…...

@BGOV
news.bgov.com > bloomberg-government-news > gop-lawmakers-cast-wary-eye-at-medicare-advantage-overpayments

GOP Lawmakers Cast Wary Eye at Medicare Advantage Overpayments

4+ mon, 6+ day ago   (58+ words) Bloomberg Government News Lawmakers and the administration are stepping up scrutiny of overpayments in Medicare Advantage plans in a sign that Republicans increasingly could be willing to crack down on how much insurers are reimbursed for seniors’ health care. Learn…...