Category: Healthcare Finance News

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.

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.

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

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.

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

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.

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

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

The policy, which will be enforced by the FDA, specifically targets cartridge-based e-cigarettes such as Juul, as well as non-tobacco flavors.

What’s more, 30-day mortality and readmission rates stayed largely the same at acquired facilities.