Health insurers and stakeholders have expressed support for the Centers for Medicare and Medicaid Services’ plan to phase in changes to the risk adjustment model over three years, in the 2024 Medicare Advantage Program and Part D Payment Policies released Friday.
In a preview, Nate Lesser, CISO of Children’s National Hospital, previews his HIMSS23 session where he will go into his “force multiplier” strategy for cybersecurity and cost reduction.
The Centers for Medicare and Medicaid Services anticipates a payment increase for Medicare Advantage plans of 3.32% from 2023 to 2024, which is approximately a $13.8 billion increase in MA payments for next year, according to the 2024 Medicare Advantage and Part D Rate Announcement finalized payment policies released late Friday afternoon.
Patients are 61% less likely to be readmitted to the hospital and 53% less likely to visit an ER if their medical records are accessed by providers within 30 days of discharge, says Juan Nanez, RN, Paso del Norte Health Information Exchange director of Programs.
The Blue Cross Blue Shield Association (BCBSA), partnering with the National Minority Quality Forum (NMQF), has released recommendations for improving and standardizing data collection methods around race, ethnicity, and language (REL) and sexual orientation and gender identity (SOGI).
The attorney general of Ohio is accusing pharmacy benefit managers of illegally driving up drug prices. What are the details? We’ll examine that and other issues in this week’s Top Stories, including Better Therapeutics’ recent layoffs, and clinicians views on EHRs. For more news and features from Jeff Lagasse, visit Healthcare Finance News. In this […]
Providers and payers are speaking out against a Texas court decision yesterday that blocks preventative care coverage, including for HIV, cancer, and a range of reproductive health interventions, mandated in the Affordable Care Act.
Hospital margins are still struggling, but they’re beginning to stabilize, according to Kaufman Hall’s National Hospital Flash Report for March. Margins in February were down slightly from the previous month, representing the eighth straight month in which the variation in month-to-month margins has decreased relative to the last three years. Due to external economic factors, […]
New legislation introduced in the Senate by Bill Cassidy (R-LA) and Jeff Merkley (D-OR) seeks to curb overpayments to Medicare Advantage plans by imposing changes to MA risk adjustment.