Susan Morse

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CMS appeals UnitedHealthcare’s star ratings win

The Centers for Medicare and Medicaid Services has appealed UnitedHealthcare’s win over its Medicare Advantage star ratings score.
CMS filed the appeal on Tuesday in federal court for the Eastern District of Texas. 
It is appealing the November 22, 202…

HHS provides $590 million to Moderna amid vaccine controversy 

Three days before President Donald Trump was sworn into office, the Department of Health and Human Services announced the award of $590 million to Moderna to accelerate the development of mRNA-based pandemic influenza vaccines.
WHY THIS MATTERS

What Trump and the GOP have planned for healthcare

Health systems are rightly concerned about Republican plans to cut Medicaid spending, end ACA subsidies and enact site neutral payments, says consultant Michael Abrams, managing partner of Numerof, a consulting firm.
“Health systems have reason to worr…

Teva files lawsuit against drug-price negotiations

Teva Pharmaceuticals has joined other drug makers in filing a lawsuit against the Department of Health and Human Services for the drug-pricing provisions of the Inflation Reduction Act.

Teladoc teams with Amazon on chronic care

Virtual care company Teladoc Health has announced it is teaming with Amazon to expand access to its telehealth chronic condition programs.
Amazon customers who are eligible for Teladoc Health’s diabetes, hypertension, pre-diabetes and weight management…

17 health systems invest in Truveta Genome Project

Seventeen health systems have launched the Truveta Genome Project to create what Truveta is calling the largest and most diverse database of genotypic and phenotypic information ever assembled. 
The health systems, with Illumina and Regeneron, have inv…

CMS finalizes new rule to safeguard Affordable Care Act coverage

The Centers for Medicare and Medicaid Services has issued a rule for additional safeguards to protect consumers from unauthorized changes to their healthcare coverage in the Affordable Care Act marketplace.

Medicare Advantage plans get proposed 4.3% pay hike

Medicare Advantage plans get a 4.3% pay hike in a proposal released by the Centers for Medicare and Medicaid Services on Friday.
If finalized, the proposed 2026 Advance Notice would result in a net increase of over $21 billion to MA plans in 2026.

Duke Health and Abridge partner on AI for clinical documentation

Duke Health is the latest health system to partner with Abridge on generative AI for clinical documentation.
Duke Health, headquartered in North Carolina, and Abridge signed an enterprise-wide agreement in late December to deploy the AI platform to 5,0…

Record-setting enrollment for Affordable Care Act coverage

The Centers for Medicare and Medicaid Services reports that close to 24 million people have selected a health plan for 2025 during the Affordable Care Act open enrollment period.