Author's posts
What now for Joe Biden’s presidency and healthcare
Biden supports strengthening the ACA and a public and private option in which public plans would compete with private plans.
Aetna president to take helm of CVS Health as CEO Larry Merlo steps down next year
Payer Notebook: AHIP takes issue with proposed rule on coverage for FDA-approved breakthrough devices
UnitedHealth Group has announced a living donor program to give $12,000 to individuals who provide organs to one of its employees.
Provider Notebook: American Medical Association reacts to ‘ongoing attacks on physicians’
Close to 6% increase in Medicaid and CHIP enrollment since public health emergency began.
The average cost of hospital care for COVID-19 ranges from $51,000 to $78,000, based on age
When factoring in the length of stay, the average hospital charge increased the longer patients were there and they continued to vary by age group.
Automating revenue cycle on the back end improves patient engagement on the front
For one health system, robotic process automation equates to about 27,000 hours in a month saved, which correlates to around $500,000.
Anthem is paying $594 million to settle Blues antitrust settlement
Non-COVID utilization is back to 95% of baseline and when coupled with the cost of COVID-19 care, overall utilization is above baseline.
CMS finalizes Medicare payment to support dialysis in the home
Certain new and innovative equipment and supplies will qualify for the additional Medicare payment.
CMS approves Georgia waiver to transition to a non-ACA private sector marketplace
Democratic opponents say the "unlawful waiver" will expose consumers to greater financial risk by encouraging the use of junk plans.
Centers for Medicare and Medicaid Services announces 51 direct contracting entities
Direct contracting is the next CMMI model and is based on Next Generation, Medicare Shared Savings and Medicare Advantage plans.
