EPtalk by Dr. Jayne 10/9/25
The US federal government shutdown continues, and with it, the loss of payment for telehealth visits for Medicare beneficiaries.
I reached out to a few of my CMIO friends to understand how their systems…
Tag: medicare
Curbside Consult with Dr. Jayne 10/6/25
Last week was a busy one. My already packed schedule was hit with meeting requests related to the US government shutdown.
There were discussions whether our organization should continue delivering telehealth services to Medicare…
News 10/3/25
Top News
Medicare’s telehealth flexibilities lapse due to the federal government’s shutdown, with these changes:
Geographic restrictions are restored.
Medicare patients won’t be able to receive services in their homes.
An initial In-person visit will…
Medicare Advantage Hospitals Nationwide End Plan Contracts
Understanding the Medicare Advantage Exodus
A significant shift Hospitals is reshaping the American healthcare landscape as 29 health systems across the United States have severed ties with Medicare Advantage plans throughout 2024 and 2025. This…
M&A: Evolent Health Sells Primary Care Business to Privia Health for $113M
What You Should Know:
– Evolent Health, Inc., a company focused on improving health outcomes for people with complex conditions, has reached a definitive agreement to sell its value-based primary care business, Evolent Care Partners…
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Pluto Health Partners With Leading Insurers to Expand Nationwide Access
What You Should Know:
– Pluto Health, an AI-powered care delivery platform, announced nationwide partnerships with leading insurers including Medicare, Medicaid, UnitedHealthcare, Aetna, Blue Cross Blue Shield, Ambetter, and Cigna in select states.
– These agreements expand…
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EPtalk by Dr. Jayne 9/25/25
Autumn has arrived in the US, and with it the corporate compliance season. Nearly all the companies I’ve worked for do their mandatory training programs in September, October, and November, so I’m getting hit…
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Cigna to Cover Cleerly’s AI-Based Plaque Analysis, Expanding Access to Cardiovascular Imaging
What You Should Know:
– Cleerly, a leader in AI-based cardiovascular imaging, has announced that Cigna will begin covering its Cleerly LABS Advanced Plaque Analysis starting on October 1, 2025.
– The decision makes Cigna the…
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The High Cost of Non-Adherence: AI-Powered Interventions Save Medicare $10M in Diabetes Care
Richard Mackey, CTO, CCS Medical
The U.S. healthcare system is at a critical inflection point, especially when it comes to managing chronic disease, which is why the new administration in the U.S. is beginning deep-dive discussions on how…
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Unlocking $90M in Revenue: The Value-Based Imperative for OR Optimization
Dr Nadine Hachach-Haram Founder and CEO of Proximie
Over the past decade, the Center for Medicare & Medicaid Services (CMS) has been steadily reshaping how U.S. healthcare is funded – shifting from a fee-for-service model…
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