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WASHINGTON, DC USA -- HEALTHCARE UPDATE NEWS SERVICE™ -- FEBRUARY 16, 2023: Inside Health Policy delivers reporting you won't find elsewhere — forward-looking news essential for insurers, health care providers, hospitals and other health policy professionals, including pharmaceutical and medical device manufacturers, lawmakers and other government officials, lawyers, consultants and policy advisers.

Sign up for a free trial subscription to Inside Health Policy, the online news service on health care policy from the regulatory reporting experts at Inside Washington Publishers.

Here is a sample of the latest Inside Health Policy stories that you can read with your free trial:

  • Brooks-LaSure Flags MA Pay Proposal Amid Heated Debate On Medicare Cuts
    CMS Administrator Chiquita Brooks LaSure on Thursday (Feb. 9) doubled down on the agency's MA pay proposal for 2024, which CMS says would on average lead Medicare Advantage payment rates to increase by 1.03% for 2024, amid concerns expressed by MA stakeholders — and accusations from certain Republicans — that the Biden administration plans to cut MA pay.

  • MA Plans Blast Risk Adjustment Final Rule; Mum On Litigation
    Medicare Advantage plans are lambasting CMS' final rule released Monday (Jan. 30) that allows the agency to extrapolate audit data and retroactively claw back overpayments, but they won't say whether they plan to pursue litigation — though some insurers indicated prior to the rule's debut they'd sue if CMS did not finalize a so-called fee-for-service adjuster, and the insurer lobby AHIP called the rule "unlawful."

  • Blue Cross Blue Shield Touts $405 Billion Prior Auth Savings Strategy
    The Blue Cross Blue Shield Association is floating a series of policy and legislative recommendations the insurance giant says could produce combined savings for patients and insurers as high as $767 billion over the next 10 years, and it includes $405 billion saved from prior authorization maintenance as one of its recommendations, though a multitude of provider groups and beneficiary advocates previously lambasted prior authorization as costly and detrimental to quality care.

  • RADV Rule Sets MA Overpayment Recoup Strategy, Nixes FFS Adjuster
    CMS on Monday (Jan. 30) announced it will extrapolate Medicare Advantage audit data beginning with payment year 2018 as it moves to claw back overpayments with its long-awaited Medicare Advantage Risk Adjustment Data Validation (RADV) rule.

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