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With Medicare Advantage now covering more than half of all Medicare beneficiaries, Lynn Nonnemaker and Yamini Kalidindi join Anthony Livshen to unpack MA encounter data – what it is, how complete it's become, and the growing role it's playing in CMS payment policy, quality measurement, and program oversight. The episode explores both current uses and the significant policy shifts that may lie ahead, from disproportionate share hospital payments to risk adjustment.
In this week's Healthcare Preview, Debbie Curtis and Rodney Whitlock join Maddie News to preview what's on the healthcare agenda for the remainder of this year.
This week in the Breakroom, Jeff Davis and Lynn Nonnemaker join Erin Fuller for a deep dive into the findings from the Trustee's 2026 Medicare Report.
In this week's Healthcare Preview, Rodney Whitlock and Debbie Curtis join Erin Fuller to discuss Congress' focus this week on reconciliation 2.0, FISA, and broader legislative efforts to crack down on fraud in federal programs, including healthcare.
This week in the Breakroom, Katie Waldo and Maddie News join Erin Fuller to unpack CMS' new interim final rule directing states to implement Medicaid work requirements by January 1, 2027.
In this week's Healthcare Preview, Debbie Curtis and Rodney Whitlock join Maddie News to discuss the Medicaid work requirements interim final rule, anticipated for release today.
This week in the Breakroom, Debbie Curtis joins Maddie News to discuss the recently released Notice of Benefit and Payment Parameters final rule for 2027, specifically discussing the finalized policies related to catastrophic and non-network plans, as well as additional rulemaking we're watching for in the coming weeks.
This week in the Breakroom, Rodney Whitlock joins Erin Fuller to discuss the growing focus from both Congress and CMS on fraud, waste, and abuse in Medicare and Medicaid, including the recent Medicare enrollment moratoria for new hospice and home health providers, increased scrutiny of state Medicaid programs, and the broader policy and political implications of these oversight efforts.
In this week's Healthcare Preview, Debbie Curtis and Rodney Whitlock join Maddie News to talk about healthcare legislation being discussed in the House and break down what Senate HELP Committee Chair Cassidy's primary loss means for healthcare policymaking moving forward.
This week in the Breakroom, Jeffrey Davis joins Maddie News to discuss recent Department of Education changes to student loan caps, and what the changes mean for medical education.
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