Category: Health Insurance

Medicare Advantage rankings hit plans serving disadvantaged populations hard

After adjustments for race, poverty level and other factors, plans serving the highest proportions of disadvantaged populations improved considerably in the rankings.

CMS proposes rule to prevent Medicaid payments from being diverted away from primary provider

The Centers for Medicare and Medicaid Services said the change is intended to ensure that providers receive their complete payment and that any diversion of funds is legal.

President Trump’s Supreme Court pick Brett Kavanaugh could have lasting impact on healthcare

Affordable Care Act, abortion rights issues could be at center of nomination fight.

Commercial health plans show widespread variation in coverage and reimbursement for speciality drugs

Less than half, 48 percent, of all drug coverage decisions are consistent across the majority of health plans, findings showed.

Can Insurers Use Genetic Testing Results? A Reader Wants To Know

Other readers ask what can be done to challenge unexpected medical bills — whether the result of an emergency room visit or after a change in prescription drug coverage.

Wonder Woman Gal Gadot visits Inova Children’s Hospital, wowing kids and raising provider profile

For Inova, which operates on philanthropy, the celebrity visit could translate into needed donations.

How consumerism and patient experience are steering trends in hospital design

Everything from private rooms down to motorized shades and acoustic panels are elements of design that cater to patient comfort and recovery, and boost satisfaction, design expert Rebecca Donner says.

Physician burnout at small practices dramatically lower than the national average

Burnout less likely at smaller practices
The authors say it’s the first research of its kind that examines the prevalence of burnout in practices of five physicians or fewer.

Trump Administration’s freeze on $10.4 billion in risk adjustment payments disrupts markets

AHIP, CMS Administrator Seema Verma both say they want quick resolution to conflicting court decisions holding up payments.

Hospitals, health systems add to C-suites in June; several new CEOs hired

Along with CEOs, many chief operating officers and chief nursing officers were also hired, making for a busy month.