Category: Healthcare Finance News

Former Anthem executive Brad Smith named CMMI director

Smith co-founded Aspire Health, which Anthem acquired in 2018.

Healthcare paperwork cost U.S. $812 billion in 2017, 4 times more per capita than Canada

Doctors, hospitals, and other health providers in the U.S. spent far more on administration due to complexity.

CMS releases 2021 Medicare Advantage risk adjustment payment changes

Risk scores will be calculated using 75% encounter data, an increase of 25% over this year.

Owner of Los Angeles rehab center pleads guilty to $175 million healthcare fraud

The owner plead guilty to seven counts of grand theft, five counts of insurance fraud and one count each of identity theft and money laundering.

Older adults use online physician ratings, but view them cautiously, poll shows

Online reviews matter about as much as what an older person hears from family and friends through word of mouth.

Expected record flu season could be financial windfall for hospitals

In the last week of December, an average of 6.9% of patient visits were due to the flu or flu-like illnesses, up from previous years.

20 Democratic states ask Supreme Court to review ACA decision

The petition asks the Court to review the case before the end of the current term in June.

Structured, salary-only compensation plan for physicians a possible model for pay equity

In the model, pay equity was affirmed in 96% of cases, and of those with higher-than-predicted compensation, there was no link to gender or race.

New Maine law says private health insurers must provide hearing aid benefits

Previously, Maine required hearing aid coverage for children under the age of 18, and capped the insurer’s expense at $1,400.

Federal watchdog cracks down on inflated Medicare payments

Insurers were allegedly found to be exaggerating the health ailments of patients, receiving billions.