Author's posts
AHA asks UnitedHealthcare to roll back emergency department claims policy
The American Hospital Association has sent a letter to UnitedHealthcare urging the health insurer to rescind a new policy that would allow it to retroactively reject emergency department claims.
Biden bolsters payments for at-home COVID-19 vaccinations for Medicare beneficiaries
Medicare is incentivizing providers and will pay an additional $35 per dose for vaccine administration in a beneficiary’s home.
Employer health costs projected to rise 6.5% in 2022 due in part to COVID-19
The return of deferred care will increase utilization and health spending, as will investment in new technologies.
Biogen teaming with Cigna, CVS Health to increase access to its Alzheimer’s drug
The company will enter into a value-based contract with Cigna and an initiative with CVS Health based on screening and education.
UnitedHealthcare looks to retroactively deny emergency room claims
The policy is an attempt to curb healthcare costs, but some providers are worried it could lead to lower reimbursement.
Health plan leaders request inclusion of audio-only telehealth visits to MA risk adjustment
The groups said the move is imperative to ensure health costs are captured adequately and premiums remain stable.
CMS makes $80 million available for navigators in states with a federally-facilitated marketplace
The Centers for Medicare and Medicaid Services has issued the 2021 Navigator Notice of Funding Opportunity, which will make $80 million in grant funding available to Navigators in states with a federally facilitated marketplace for the 2022 plan year. …
Sentara Healthcare, Cone Health call off affiliation
The organizations said their respective communities and stakeholders would be better served independently.
AHIP updates mission in bid to rebrand, commits to mental health and chronic care
Quality care, affordable coverage and collaboration with insurers are among the new tenets of the organization’s mission statement.
Baycare Health System sees transformational technology as the road to COVID-19 recovery
Telehealth, work-from-home arrangements and other swift changes have paved a path forward to renewed financial health.
