What You Should Know
The Crisis: Despite soaring demand from an aging population, home health referral conversion rates have dropped 13% since 2018, leaving 4.2 million patients without recommended care in 2024 due to capacity…
Continue Reading
What You Should Know:
– Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments.
– The…
Continue Reading
Top News
Kaiser Permanente affiliates will pay $556 million to settle False Claims Act allegations that they inflated Medicare Advantage risk scores.
Federal investigators say that Kaiser electronically searched patient histories for diagnoses…
Top News
Best Buy’s CFO says in the company’s Q3 earnings call that it record a $192 million asset impairment charge for exiting Best Buy Health, which it says was caused by pressure in…
Continue Reading
What You Should Know:
– ŌURA and Cigna Healthcare have announced a strategic collaboration aimed at integrating continuous biometric insights with expertise in preventive care and chronic disease management.
– The partnership builds upon ŌURA’s earlier…
Continue Reading
Top News
CVS Health reports Q3 results: revenue up 7.8%, adjusted EPS $1.60 versus $1.09, beating analyst expectations for both.
The company took a $5.7 billion impairment charge for its Oak Street Health…
Eugene Gonsiorek, PhD, VP of Clinical Regulatory Standards at PointClickCare
The chorus of voices singing the praises of value-based care is growing ever louder. But in LTPAC, it still feels like the system’s asking providers…
Continue Reading
Top News
Humana and Providence launch a scalable data exchange collaboration that will use HL7 FHIR standards and modern APIs to reduce administrative burden, enhance interoperability, and support value-based care.
The payer-provider collaboration’s…
It’s open enrollment season for Medicare. Patients and their family members inundate physicians with questions about whether they should switch plans.
Most outpatient office visits are too short to have a meaningful conversation about…
News
Google backtracks on an internal health policy that required employees to allow a third-party AI tool from startup Nayya review their personal data when enrolling in health benefits. Nayya’s tool asks health and lifestyle…
Continue Reading
