Author's posts
CMS touts Medicare Advantage plans ahead of October 15 open enrollment
MA enrollment is projected to increase while plans offer new types of supplemental benefits, CMS says.
Readmission drop for New York hospitals, but rates remain highest in the country
OIG report finds a high rate of overturned denials in MA plans
The report raises questions of whether Medicare Advantage plans inappropriately deny claims to increase profits.
Next generation of medical professionals underprepared for machine learning, say researchers
Medical school and residency programs have an untapped opportunity to educate clinicians about using AI in patient care.
Aetna is divesting its Medicare Part D plans to WellCare
The sale will be completed by the end of the year but is contingent upon the closing of its merger with CVS Health.
Health plans not meeting Medicare beneficiaries’ communication preferences, survey shows
There is still a demand for voice and regular mail as communication methods, but that demand is shrinking.
CFOs share innovation investment strategies amid political uncertainty in DC
Chief financial officers of Northwell, Providence St. Joseph and Henry Ford simply refuse to be prisoners of ever-changing federal government rules and regulations.
How Eastside Health Network has been smoothing the path to value-based care by normalizing data
EHN knew it has to get a better handle on disparate EHR systems, bringing data together in ways that were actionable.
House passes bills prohibiting pharmacy gag clauses on drug prices
Community Health Systems’ subsidiary to pay more than $260 million over alleged kickback, billing, inpatient admissions scheme
Government alleged HMA unlawfully boosted inpatient admissions, submitted inflated claims to government payers and paid physician kickbacks for referrals.
