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This commenter also stated that given that acute appendicitis is more commonly encountered in non-Medicare patients and that MS-DRGs are a common payment methodology for private insurance and Medicaid claims, CMS should additionally analyze Medicaid claims.
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Seeking Alpha 09/17/2020 14:09
First, approximately two-thirds of these amounts were related to data challenges with a few health plans, which we were unable to remedy until late June, due in part to the planned deprioritization of our date issues amidst COVID-19.
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InsuranceNewsNet 09/15/2020 12:44
At the virtual Sensentia booth at AHIP's upcoming National Conference, visitors can learn more about its solutions for Medicare and Dual Eligibles, as well as other new features and functionality in the development pipeline.
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Kaiser Family Foundation 09/09/2020 09:34
As of July 2018, almost 54 million Medicaid enrollees received their care through risk-based MCOs – or over two thirds (69%) of all Medicaid beneficiaries.
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HealthPayerIntelligence 09/04/2020 22:44
On top of these CMS actions, the Medicare Payment Advisory Commission (MedPAC) Medicare Advantage value incentive program proposal could also have far-ranging impacts.
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PR Newswire 08/27/2020 13:33
ILS provides member-centric health and support solutions to millions of America's Medicare, Medicaid, dually eligible, and Special Needs populations including those requiring Long-Term Services and Supports.
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For 2006, Medicare will have paid for an average of about 96 percent of drug spending for low-income beneficiaries, and 98 percent for dual eligibles.
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