The latest in population health management.
Medicare / Medicaid / CMS
Medicaid Unwinding Progress & Concerns
Medicaid is the largest health insurance program in the U.S., covering approximately one in five Americans. That equates to 82.3 million low-income Americans, including millions of children, older adults, people with disabilities, and two million veterans. Medicaid is the single
Medicare Advantage Regulatory Updates
Claw Backs and Beneficiary Protections in the Form of CMS Regulatory Changes – Massive Financial Implications
Impact of the New CMS Healthcare Interoperability Rule | ZeOmega
Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.
Key Takeaways from 2024 Medicare Advantage Proposed Rule | ZeOmega
The Centers for Medicare and Medicaid (CMS) released the 2024 Medicare Advantage Proposed Rule on December 14, 2022 and the 957 page document is scheduled to enter the federal register on December 27th, 2022.
Reducing Burden in Healthcare Prior Authorizations
To reduce the burden of the prior authorization, many providers and payers have come together to develop solutions. Learn more.