by Jessica Casebolt | Aug 1, 2023 | Providers, Tea Leaves
CMS announced a final rule that will increase payments to skilled nursing facilities by 4 percent, or $1.4 billion, starting in fiscal year 2024. The payment bump will, in part, make up for a $2.2 billion underpayment to the facilities as a result of the Patient...
by Jessica Casebolt | Aug 1, 2023 | Payers, Tea Leaves
Elevance Health, formerly Anthem, is updating the branding for its Amerigroup segment to Wellpoint in a bid to better align the government insurance business with its push toward whole health. The rebrand will roll out in January 2024, pending regulatory approvals, in...
by Jessica Casebolt | Aug 1, 2023 | Inequities and SDOH, Tea Leaves
CMS will test a dementia care model that aims to improve quality of life for 6.7 million beneficiaries and their unpaid caregivers, the agency announced Monday. The eight-year Guiding an Improved Dementia Experience Model (GUIDE) seeks to keep Medicare enrollees...
by Jessica Casebolt | Aug 1, 2023 | Inequities and SDOH, Tea Leaves
United Healthcare has awarded $11.1 million in grants spread across 66 nonprofit organizations to improve the health care options for individuals living in underserved communities by addressing social determinants of health. Specifically, the grant funding will be...
by Jessica Casebolt | Aug 1, 2023 | Health IT, Tea Leaves
The sensitive personal and health information of approximately 612,000 Medicare beneficiaries was exposed as part of the MoveIT transfer service breaches, according to the Centers for Medicare and Medicaid Services (CMS). Maximus, which contracts with the government...
by Jessica Casebolt | Jul 31, 2023 | Providers, Tea Leaves
Lobbying groups representing different camps of the health care industry have come together to urge CMS to reconsider “conflicting regulatory proposals” that require different electronic standards for electronic data exchanges during prior authorization. The American...
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