Category: Healthcare Finance News

Do-not-resuscitate orders linked to increased death rates, study finds

Do-not-resuscitate (DNR) orders, meant to reduce needless suffering, often lead to increased death rates, worse medical care and negative health outcomes, according to a study by e7Health.

Cigna expands ACA marketplace plans to more states

Major health insurer Cigna said this week it will expand its presence on the Affordable Care Act’s exchanges, pushing into markets in three new states for the 2022 plan year.

Statistics show large pandemics are more likely than previously thought

The COVID-19 pandemic may be the deadliest viral outbreak the world has seen in more than a century. But statistically, such extreme events aren’t as rare as we may think, according to a new analysis of novel disease outbreaks over the past 400 years.

BCBS teams with Cityblock Health on primary care for Medicaid and MA members

Five clinics serving Blue Cross and Blue Shield of North Carolina (Blue Cross NC) members are partnering with Cityblock Health, a healthcare provider for Medicaid and lower-income Medicare beneficiaries, in an effort to support Medicaid managed care in…

Hospitals get shut down in Medicare outlier payment case, again

A federal appeals court rejected the group’s latest attempt to get higher reimbursements for the outlier payments they received from 2008 to 2011.

House advances reconciliation bills aimed at expanding Medicaid reproductive care coverage

The resolution unlocks the reconciliation process, by which Congress can expand Medicaid to an estimated four million more people.

Geisinger, PayZen partner on AI-based medical billing app

Patients will have the ability to schedule payments on various timelines, either on a monthly basis or in a lump sum.

CMS expands Medicare payments for at-home COVID-19 vaccinations

The policy is meant to ensure that at-risk patients in smaller settings have the same opportunities as others to receive the vaccination.

New bill seeks to facilitate in-home infusion reimbursements

The bill would remove the requirement that a provider has to be physically present when a patient receives their infusions.

Growing cost of MA further adding to Medicare financial woes

In 2019, Medicare spent $321 more per person for MA enrollees than it would have spent for traditional Medicare beneficiaries.