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Physicians hesitate to treat patients with disabilities, Health Affairs finds
Physicians are feeling overwhelmed by the demands of practicing medicine generally, but in particular by the demands of the Americans With Disabilities Act of 1990, leading many to experience hesitation when treating people with disabilities, finds a n…
Humana tops best Medicare Advantage plan companies in new ranking
Humana has been anointed the best overall company offering Medicare Advantage plans by U.S. News and World Report, which created an honor roll based on the Centers for Medicare and Medicaid Services newly released Star Ratings for Medicare Advantage Pl…
Elevance Health pulls down $1.6B in profit in Q3
Elevance Health, formerly known as Anthem, took in $1.6 billion in profit in the third quarter of this year, marking a 7.2% gain from Q3 of 2021. Revenues reached $39.9 billion, up 11.5% from the $35.8 billion in revenue posted a year ago.
President an…
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…
