A proposed rule issued by three federal agencies on Tuesday would expand limits for short-term health insurance plans from three months to 12 months. CMS’s Seema Verma dismissed concerns that the policy shift would destabilize the individual market by …
Category: FiercePracticeManagement
Study: Community navigators can reduce the high cost of ‘superusers’ in hospital settings
“Superusers,” those costly patients who utilize high levels of hospital care, are a significant burden on the healthcare system. But a new study suggests that pairing them with community navigators can reduce their use of hospital services. Researchers in Tennessee found that the intervention reduced their healthcare encounters by 39%.
Anthem alters controversial ER coverage policies
Seeking to address mounting concerns from providers and other stakeholders, Anthem has made changes to policies it previously rolled out that restrict coverage for emergency room visits. The insurer has implemented a series of “always pay” exceptions for certain circumstances, like when the patient received any kind of surgery or an MRI or CT scan.
VA head Shulkin to reimburse disputed European travel expenses, but Dems call for hearing over controversy
Veterans Affairs Secretary David Shulkin, M.D., says he will reimburse travel expenses that were the subject of an internal investigation into a trip he took to Europe this summer, but that may not put an end to the controversy. One lawmaker has called for Shulkin’s resignation, and four Democrats have requested a hearing about the trip.