Report finds Medicare Advantage grew more than at any time in history, again
A report detailed how Medicare Advantage grew again, gaining some of its numbers from new members and poaching others from Original Medicare, which is declining overall.
Missouri takes months to process Medicaid applications — longer than law allows
While 64,210 people have been approved as part of the expansion that took effect in the summer 2021, nearly 73,000 applications were pending as of early February. Until the expansion went into effect, for nearly a decade, Missouri’s Republican political leaders resisted expanding eligibility for Medicaid.
With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
Will your Medicare reimbursement survive CMS’s New CDSM mandate?
The new CMS Mandate on CDSM takes effect on January 1, 2022. Is your organization ready for compliance when ordering outpatient advanced imaging?
With new proposed rules, HHS takes major stab at interoperability framework
New proposed rules from HHS would require government health plans and health plans sold on the federal ACA exchanges to give patients free access and control over their health information by 2020 and to implement an HL7 FHIR-based API to open up data access to third party apps and developers.
CMS unveils new consumer-facing app to help Medicare patients understand benefits
The "What's Covered" app is free to download on both the iOS and Google Play stores and will allow users to see if specific items or services are covered under their traditional Medicare Part A and Part B benefits
What’s next after the CMS price transparency “first step”
A new price transparency rule from CMS requires hospitals to post their retail list prices online, but critics are saying it doesn't go nearly far enough.
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A Personalized Approach to Medication Nonadherence
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
CMS offers states potential routes to undermine Obamacare
Current ACA subsidy programs are required to be based on income. Under the rules laid out by CMS states would be able to base subsidies on other factors potentially leaving lower-income, older and sicker patients with less comprehensive coverage options.
Site-neutral payments and other key reforms are here to stay
Site-neutral payments are a good thing in and of themselves. The last thing the healthcare industry needs is more profit-driven provider consolidation.