The Centers for Medicare and Medicaid Services (CMS) issued regulations applicable to Medicare Advantage (MA) plans—also commonly referred to as managed Medicare or Part C Medicare—in April 2023 (CMS ...

The 2024 Medicare Advantage Final Rule changed inpatient coverage, requiring healthcare providers to reevaluate their patient strategies. Unlike traditional Medicare Part A, Medicare Advantage (MA) ...

Medicare and Medicaid Services (CMS) on August 19, 2013, the two-midnight rule provided that an inpatient admission generally would only be payable under Medicare ...

Leaders of the four major publicly traded for-profit health systems were asked about the effects of the expansion of the two-midnight rule during the Wells Fargo Healthcare Conference held in early ...

Kodiak Solutions said its analysis of hospital inpatient and outpatient claims data suggests that payers are “continuing to apply their own criteria for inpatient admission and dismissing the ...