A new analysis from Avalere shows Medicare Advantage patients have fewer inpatient stays, ER visits and avoidable hospitalizations than fee-for-service beneficiaries, despite higher rates of social and economic risk factors.
Category: FierceHealthPayer
Doctors: Don’t blame me for high healthcare costs
Lots of factors are at play when it comes to high healthcare costs. But doctors are sure of one thing: They aren’t to blame.
Patients on ACA at higher risk for surprise bills, physician coalition says
Patients are at a higher risk of receiving surprise medical bills, as a new study found more health plans on the ACA insurance exchange markets offer restrictive networks.
Seema Verma defends cuts to ACA Navigator program, commitment to states’ ‘flexibility’
During a 30-minute Q&A session with reporters on Thursday morning, the CMS administrator also said states should continue to expect “flexibility” despite a Kentucky court ruling limiting its Medicaid work requirements rules.
House lawmakers take aim at family separations during HHS appropriations bill markup
Both Republicans and Democrats proposed amendments during an appropriations markup on Wednesday to address the concern of migrant children being separated from their parents at the border.
Humana, private equity firms finalize $1.4B Curo acquisition
Combined with Kindred at Home, the acquisition will create the country’s largest hospice provider, of which Humana will own 40%.
House subcommittee debates need for 340B oversight amid host of new bills
A GAO report that concluded HRSA has failed to audit 340B sufficiently generated strong sentiments on both sides of the aisle as lawmakers grappled with how to provide more oversight to the program.
Indiana benefits administrator sues Teladoc to recoup $450K in overcharges
Key Benefit Administrators claims Teladoc notified them of the overcharge due to an accounting error but attempted to reconfigure the refund so it wouldn’t negatively affect their financial statements.
Indiana benefits administrator sues Teladoc to recoup $450K in overcharges
Key Benefit Administrators claims Teladoc notified them of the overcharge due to an accounting error but attempted to reconfigure the refund so it wouldn’t negatively affect their financial statements.
Trump administration cuts funding for ACA enrollment efforts again
On Tuesday evening, officials announced that planned funding levels for grants to assist Affordable Care Act enrollments would be drastically cut.
