Amid an overall crackdown on private insurers’ Medicare billing practices, a new government audit and a whistleblower suit allege St. Louis-based Essence Group Holdings Corp.’s Medicare Advantage plans overcharged taxpayers.
Category: Health Insurance
Private practice physicians less likely to maintain electronic records, study shows
Forty-nine percent of surveyed physicians who had remained independent since 2011 attested to meaningful use of EHRs.
Amazon contemplating lawsuit against Surescripts
Surescripts is seeking to cut off PillPack’s access to patient data, and the latter, an Amazon-owned company, isn’t taking the matter lightly.
How Medicare Advantage plans can begin closing coverage gaps through better communication
Personalized communications and robust analytics capabilities can help MA plans avoid some of the pitfalls of coverage gaps.
Biden’s ‘Incremental’ Health Plan Still Would Be A Heavy Lift
The proposal is far from minimal and includes several provisions that Congress has failed repeatedly to enact, including some that were part of the original Affordable Care Act debate.
Court decision expected soon in CVS\Aetna merger
Judge Richard Leon says the merger potentially has ‘grave consequences for millions of people.’
David Callender is new president and CEO of Memorial Hermann Health
He succeeds Chuck Stokes, who is retiring at the end of the year.
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health care policy stories each week, so you don’t have to.
CMS has 2019 Medicare ACO class
About 40 new ACOs entered the program, which is less than the 100-plus new ACOs the program averaged in its first 7 years.
Health insurers must get creative with benefits to fill critical vacancies
Competition, an aging workforce, an outdated image, contribute to staffing shortages for the health insurance industry.
