Author's posts
Clinicians ethically challenged when it comes to caring for undocumented immigrants
In one of the first studies to explore clinician moral distress related to the ethically challenging issue of providing healthcare to undocumented immigrants, researchers from Regenstrief Institute and Indiana University School of Medicine surveyed phy…
Humana, Kelsey-Seybold team to expand Humana’s Medicare Advantage provider network
Major insurer Humana has partnered with multi-speciality group practice Kelsey-Seybold Clinic, signing an in-network agreement that Humana hopes will allow expanded access to value-based care, through a broadening of its Medicare Advantage provider net…
Biden Administration awards $15 million to 20 states for mobile crisis intervention
The Centers for Medicare and Medicaid Services has awarded $15 million in planning grants to 20 states to support expanding community-based mobile crisis intervention services for Medicaid beneficiaries.
The goal is to connect people who are experienci…
OIG: Some MA companies used chart reviews, HRAs to drive $9.2B payments
A new report examining Medicare Advantage plans released by the Department of Health and Human Services’ Office of the Inspector General found that some MA plans are leveraging chart reviews and health risk assessments to drive up to $9.2 billion in pa…
Rural hospitals see improvements in mortality rates after acquisitions, finds JAMA
Hospital merger and acquisition activity is expected to remain robust throughout the year, and a new report in JAMA Network Open sees advantages to this trend.
Rural hospital consolidation in particular has improved mortality rates among various condit…
AHIP president and CEO calls for strengthening Medicare Advantage, Medicaid managed care
Delivering opening remarks during the AHIP 2021 National Conference this week, AHIP President and CEO Matt Eyles called for strengthening and protecting Medicare Advantage as well as Medicaid Managed Care, calling the programs “efficient, effective and…
University of California Irvine receives $30 million gift to construct a medical innovation building
Supported by a $30 million lead gift from the Falling Leaves Foundation, University of California Irvine will move forward with construction of a planned medical research facility on its campus, which is expected to enhance its cross-disciplinary teach…
Prime Healthcare hospitals cut ties with UnitedHealthcare, citing low reimbursement
Prime Healthcare’s New Jersey hospitals announced this week they would terminate their contracts with major insurer UnitedHealthcare, citing significant underpayment compared to the rates of neighboring facilities, and lower reimbursement rates than th…
CDC spending more than $2 billion on infection control and prevention efforts
The U.S. Centers for Disease Control and Prevention has earmarked $2.1 billion from American Rescue Plan funding to improve infection control and prevention across the country — the largest federal investment of its kind to date, the agency said.
CMS extends open enrollment period, launches initiatives to expand health coverage
In an effort to expand health coverage and access, the Centers for Medicare and Medicaid Services is extending regular open enrollment by 30 days, which will now run from November 1 to January 15, 2022, giving consumers more time to review and choose h…
