UnityPoint Health First to Join Mayo Clinic Platform_Insights
Goal is to deliver Mayo Clinic’s clinical and operational expertise to other healthcare organizations
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What the Health? From KFF Health News: The GOP Circles the Wagons on ACA
The Host Julie Rovner KFF Health News @jrovner @julierovner.bsky.social Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A…
When Drug Price Transparency Isn’t Enough
By KRISTINA SMITH & PHIYEN NGUYEN Policymakers and advocates often promote drug price transparency to lower costs and improve equity. While transparency is an important first step toward accountability and informed public budgeting, it does not guarantee affordable prices or fair access to medicines. Transparency Has Some Benefits Drug price transparency helps show how and…
How Are Medical School Execs Thinking About Incorporating AI?
Three medical school leaders discuss the threats of de-skilling and never skilling vs. the promise of upskilling
States’ Management of Medicaid Home Care Spending Ahead of H.R. 1 Effects
Using data from the 23rd KFF survey of officials administering Medicaid home care programs, this issue brief describes the mechanisms states are currently using to limit Medicaid spending on home care and their plans for adopting new mechanisms in state fiscal year (FY) 2026.
A Look at Waiting Lists for Medicaid Home- and Community-Based Services from 2016 to 2025
This data note provides new information about waiting lists in Medicaid home care before many of the provisions in the 2025 reconciliation law go into effect. The data come from KFF’s 23rd survey of officials administering Medicaid home care programs in all 50 states and DC.
How Medicare Pays Medicare Advantage Plans: Issues and Policy Options
This brief explains how Medicare Advantage payments are determined and provides an overview of policy options to change the Medicare Advantage payment system.
Medicare Advantage Glossary
This glossary serves as a guide to the sometimes arcane terms that inhabit the world of Medicare Advantage, the private plan alternative to traditional Medicare.
Chart Reviews Increase Payments to Medicare Advantage Insurers for 1 in 6 Enrollees
Using Medicare Advantage encounter data, this analysis finds that 62% of Medicare Advantage enrollees have at least one chart review record and that diagnoses added from chart reviews increase payments from CMS to insurers for 17% of enrollees. The use of chart reviews varies across the largest Medicare Advantage insurers.
The Case for a Universal Medical Coder in Achieving True Interoperability
A universal medical coder, applied consistently across care settings, offers a practical solution to the enduring challenge of data integrity. The post The Case for a Universal Medical Coder in Achieving True Interoperability appeared first on MedCity News.