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Elevance latest insurer to sue over Medicare Advantage star ratings
Nov 06 | Susan Morse
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance ...
$47.5 million grant allows Rutgers to turn lab discoveries into practical healthcare
Nov 06 | Jeff Lagasse
Rutgers will use the grant to create interventions ranging from diagnostics to ...
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
Nov 06 | Jeff Lagasse
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming ...
Home health agencies get half a percent pay increase
Nov 05 | Susan Morse
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
Medical groups push for end to yearly payment cuts
Nov 05 | Susan Morse
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
CMS gives renal dialysis facilities a 2.7% increase
Nov 05 | Jeff Lagasse
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in ...
AHA criticizes 2.9% increase in CMS' OPPS final rule
Nov 05 | Jeff Lagasse
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" ...
Majority of cyberattacks are through third-party vendors
Nov 04 | Susan Morse
Hospitals didn't have Change Healthcare on their radar as a risk when the ransomware attack affected ...
Aetna offering new health plan for the self-insured
Nov 04 | Jeff Lagasse
SimplePay Health is intended to further reduce costs and improve outcomes, company says.
HIMSSCast: Prior authorization as gatekeeper
Nov 01 | Susan Morse
The intent of prior authorization - to make efficient use of health resources - has not worked, says Peter Ax of ...

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