November 01, 2022
The Centers for Medicare and Medicaid Services will invest in rural and underserved accountable care organizations and introduce more flexibility to the Medicare Shared Savings Program with the aim of kickstarting stalled enrollment and bridging health equity gaps.
October 27, 2022
As it attempts to combat health disinformation, YouTube is allowing certain healthcare professionals to apply for verification.
Starting Thursday, licensed healthcare providers such as doctors, nurses and mental health professionals can apply to make their channels eligible for YouTube’s health product features, which labels them as an authoritative source on a medical topic. It also will promote their videos at the top of someone’s search.
October 20, 2022
An estimated 333,942 healthcare providers dropped out of the workforce in 2021, many of whom departed due to retirement, burnout and other stressors related to the pandemic, according to new data.
October 17, 2022
The Justice Department has sued Cigna for allegedly collecting tens of millions of dollars in excess Medicare payments by exaggerating its members’ illnesses.
September 16, 2022
Humana will spend up to $550 million to acquire the first set of clinics it built with a private equity firm, Chief Financial Officer Susan Diamond said during a meeting with investors Thursday.
September 07, 2022
Walmart will provide preventive care services to UnitedHealth Group Medicare Advantage customers under a 10-year deal the companies announced Wednesday.
UnitedHealth Group subsidiary Optum’s data and analytics tools will guide Walmart Health clinicians to provide value-based care for Medicare beneficiaries, according to the companies. The initiative will begin in January at 15 Walmart Health locations in Florida and Georgia before expanding elsewhere, and the partners project it eventually will serve hundreds of thousands of patients. The companies also will market a co-branded Medicare Advantage plan in Georgia and Walmart Health Virtual Care will be in-network for some UnitedHealthcare commercial members in January.
August 30, 2022
The surprise billing arbitration process has gotten off to a rocky start.
Insurers are accusing providers of submitting every possible claim, even when they know some cases are not eligible for mediation. Providers allege insurers are holding up the federal dispute process by delaying submissions of clear and complete information. The recently published final rule on the process from the Health and Human Services, Labor and Treasury departments likely will not resolve all these problems.
August 26, 2022
Health systems strapped for resources worry that reporting on new quality measures and transitioning to interoperability as part of the Centers for Medicare & Medicaid Services’ final rule will be overly burdensome.
As a result, some hospitals want CMS to offer adequate financial and technological support. For larger systems with deeper resources, the rule doesn’t seem to be a big lift.
August 18th, 2022
Maria Nutile was recently selected by her peers for inclusion in the 2023 edition of The Best Lawyers in America® for her work in Health Care Law.
August 12, 2022
The Joint Commission has established new accreditation standards to accelerate equity efforts within healthcare organizations.
As of Jan. 1, accreditation programs for primary care clinics, behavioral health centers, critical access facilities and hospitals will include new mandates for their leaders.