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SCAN debuts Medicare Advantage plan aimed at LGBTQ+ seniors
SCAN Health Plan, a Medicare Advantage insurer known for its focus on older adults, is debuting a plan designed for LGBTQ+ seniors, a group the organization claimed has “typically been overlooked and underserved by our healthcare system.”
The plan, SCA…
HHS approves Arizona’s Medicaid interventions to target health-related social needs
The Department of Health and Human Services, through the Centers for Medicare and Medicaid Services, has approved Medicaid Section 1115 demonstration initiatives in Arizona that will help the state take aim at health-related social needs.
DOJ sues Cigna over alleged Medicare Advantage overpayments
The Department of Justice has filed a civil lawsuit against Cigna and its Medicare Advantage subsidiaries alleging that it sought to boost its reimbursement by submitting false and inaccurate Medicare Advantage diagnostic codes.
Biden executive order seeks to tackle drug prices through new payment models
President Biden has issued an executive order detailing new payment and delivery models intended to lower the prices of prescription drugs, focusing on models that can be tested under the Center for Medicare and Medicaid Innovation.
At start of Medicare Open Enrollment, administration touts lower premiums, improved benefits
Medicare Open Enrollment began on October 15 and runs through December 7, and the Biden Administration is claiming that people with Medicare will see lower average premiums for Medicare Part B, Medicare Advantage, and Medicare Part D prescription drug …
Top Stories: MA and Part D Star Ratings see a dip in plan quality; Bright Health cutting plans
Star Ratings for Medicare Advantage and Part D have been released. How are companies faring as compared to last year? We’ll attempt to tackle that and other questions in this week’s Top Stories, including: What is the state of Bright Health Group’s Med…
Regulatory challenges increasing among medical practices
Medical practices continue to face overwhelming regulatory challenges, many of them associated with prior authorization and the Medicare Quality Payment Program. In many cases, the burden has increased year-over-year.
That’s the bottom line of a new su…
Humana, USAA launch Medicare Advantage plan aimed at veterans
Major insurer Humana, along with USAA Life Insurance Company, will be rolling out a new Medicare Advantage plan aimed at veterans, which aims to complement the healthcare benefits received through the Department of Veterans Affairs.
Health system mergers still low in Q3, despite high value of deals
Merger and acquisition activity between hospitals health systems remained low in the third quarter of 2022, with just 10 announced transactions – comparable to Q3 2021, which saw seven announced transactions, finds a new analysis from Kaufman Hall.
Mayo Clinic teams with Eclipse on cancer pharmaceuticals
Nonprofit health system Mayo Clinic has teamed with venture capital firm Eclipse on pooling together seed funding for Nucleus RadioPharma, a new company built to ensure cancer patients can access potentially life-saving radiopharmaceuticals.
The new co…
