Twenty Medicare Advantage (MA) organizations (12%) shown to have disproportionally high payments, were reportedly responsible for more than half of the $9.2 billion total risk-adjusted payments in the year 2017, according to analysis...Read More »
Independent Health and DxID violated the False Claims Act by submitting inaccurate information about Medicare Advantage plan beneficiaries’ health status in order to increase reimbursement, according to a Department of Justice (DOJ)...Read More »
CMS has released a proposal to repeal the final rule Medicare Program; Medicare Coverage of Innovative Technology (MCIT) and Definition of “Reasonable and Necessary.” The rule sought to deliver faster Medicare...Read More »
Hospital price transparency rules and penalties don't go far enough to actually control costs, according to an expert panel assembled by the Center on Health Insurance Reforms (...Read More »
Access to EHR clinical notes lead patients with more than two chronic conditions to better remember their care plan, adhere to medications as prescribed, and overall gain a better understanding of their medications, according to a study published by...Read More »
UnitedHealthcare hopes newly added data analytics will bolster its efforts related to social determinants of health (SDOH), its Chief Consumer Officer, Rebecca Madsen, MBA, told ...Read More »
