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Managed care

Centers for Medicare & Medicaid Services
National

HHS and CMS Secure Industry Commitments to Streamline Prior Authorization

June 29, 2025June 29, 2025 - by Maryann Pugh

WASHINGTON, D.C. — U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy, Jr., and Centers for Medicare & Medicaid Services (CMS) Administrator Dr. Mehmet Oz convened with leaders from the …

HHS and CMS Secure Industry Commitments to Streamline Prior Authorization Read More

Pennsylvania Department of Human Services (DHS)
Pennsylvania

Pennsylvania Announces Selected Applicants for Community HealthChoices Program

August 25, 2024August 24, 2024 - by Maryann Pugh

HARRISBURG, PA — The Department of Human Services (DHS) has announced the selection of applicants who will administer Pennsylvania’s Community HealthChoices (CHC) program. This critical Medicaid managed care initiative serves …

Pennsylvania Announces Selected Applicants for Community HealthChoices Program Read More
United States Capitol
Government / National

Senators Introduce Bill to Expand Access to Comprehensive Care for Seniors

July 26, 2024July 26, 2024 - by Maryann Pugh

WASHINGTON, D.C. — U.S. Senators Bob Casey (D-PA) and Mike Braun (R-IN) have introduced the bipartisan PACE Anytime Act to broaden access to the PACE program. This initiative aims to …

Senators Introduce Bill to Expand Access to Comprehensive Care for Seniors Read More

Centers for Medicare & Medicaid Services
National

CMS Action to Rectify Significant Medicare Billing Anomalies: What You Need to Know

July 5, 2024July 3, 2024 - by Maryann Pugh

WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services (CMS) has laid out a strategic proposal to tackle issues of significant, anomalous, and highly suspect (SAHS) billing activities within …

CMS Action to Rectify Significant Medicare Billing Anomalies: What You Need to Know Read More
Elderly care
National

Senator Casey Calls for Greater Oversight on Elderly Care Provider Papa Inc.

March 28, 2024March 28, 2024 - by Maryann Pugh

WASHINGTON, D.C. — On Wednesday, Senator Bob Casey, chairman of the U.S. Senate Special Committee on Aging, sent a letter to the Centers for Medicare and Medicaid Services (CMS). The …

Senator Casey Calls for Greater Oversight on Elderly Care Provider Papa Inc. Read More

Centers for Medicare & Medicaid Services
National

A Revolutionary Shift in Healthcare: CMS’ Final Rule Set to Streamline and Digitize Prior Authorization Process

January 22, 2024January 22, 2024 - by Maryann Pugh

WASHINGTON, D.C. — In a defining move, the Centers for Medicare & Medicaid Services (CMS) has finalized a rule destined to significantly boost access to health information and streamline the …

A Revolutionary Shift in Healthcare: CMS’ Final Rule Set to Streamline and Digitize Prior Authorization Process Read More

Trending News

  • Wilmington Police Investigating Saturday Night Shooting on West 6th Street

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  • Tower of Power to Bring Legendary Funk and Soul to Rivers Casino Philadelphia on August 1

  • Ginuwine to Bring Iconic R&B Hits to Rivers Casino Philadelphia on August 2

  • Get Ready, Chester County: Sunshine, Soakers, and Sizzle — Your Wild Week of Weather Awaits!

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