Plus, researchers looking for long COVID symptoms only find 7

This Week

Feb 4, 2023

Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster

Researchers looking for long COVID symptoms find only 7

DOJ charges 25 in alleged scheme that sold thousands of fake degrees to aspiring nurses - Robert King

 

Featured

Medicare Advantage plans lose out in final RADV audit rule that ditches fee-for-service adjuster

By Robert King

CMS finalized a new rule to overhaul risk adjustment audits performed on Medicare Advantage plans, including adding several changes that could draw the ire of insurers.
 

Top Stories

Researchers looking for long COVID symptoms find only 7

By Frank Diamond

Long lists of long COVID symptoms exacerbates the confusion surrounding the condition that makes diagnosing and treating patients difficult. A new study narrows the list of long COVID symptoms down to just seven.

DOJ charges 25 in alleged scheme that sold thousands of fake degrees to aspiring nurses

By Dave Muoio

The scheme allowed those who paid up to $15,000 to sit for an exam and potentially be employed as a nurse without the required coursework or clinicals, DOJ said. Some customers are actively working in healthcare today.

CMS proposes small hike to Medicare Advantage, Part D plan payments in 2024 amid risk adjustment changes

By Robert King

CMS is proposing a 1.03% increase to Medicare Advantage and Part D plan payments for 2024 as well as several changes to the programs' risk adjustment model.

Senators introduced bills to reform PBMs and create new FTC probe

By Robert King

Two senators reintroduced legislation that would install several reforms to PBM practices and a probe from the FTC, signaling that a renewed fight is in the offing for the industry.

Number of people with long COVID appears to be declining, according to CDC data

By Frank Diamond

The number of individuals with long COVID seems to be shrinking, according to an analysis of CDC data by the Kaiser Family Foundation. Nonetheless, uncertainty about the condition abounds.

Humana taps leader for CenterWell arm, posts $15M loss in Q4

By Paige Minemyer

Humana has named a new leader for its growing CenterWell business, the company announced early Wednesday. The news was released alongside its Q4 earnings.

Cigna sues CVS, former exec Amy Bricker over noncompete agreement

By Paige Minemyer

Cigna has filed a lawsuit against CVS Health and Amy Bricker, a former executive, to prevent her from taking a job with the rival company.

GOP lawmakers ready to scrap Oracle Cerner's $16B VA contract unless 'deeply flawed' EHR fixed

By Heather Landi

Top Republican lawmakers are ready to pull the plug on a beleaguered health IT project being deployed at Veterans Affairs hospitals unless significant improvements are made to fix technical glitches.

White House plans to end COVID emergency declarations May 11

By Heather Landi

The White House plans to end the COVID-19 national emergency and public health emergency on May 11, the Biden administration said Monday.
 
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'Podnosis': What hospitals will need to do to overcome financial woes, and building equity measures into value-based care

In this week's episode of "Podnosis," we discuss post-pandemic hospital financing and what leaders will need to focus on this year and beyond. We also talk about the importance of value-based care and how to account for equitable care.

'Podnosis': Digital redlining in healthcare and breaking down barriers to care for gender-diverse populations

'The Top Line': What the pharma industry can expect with the new Inflation Reduction Act, and biotech's outlook for 2023

 

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