CMS Releases Guidance to Improve Oversight of Medicaid Financing
CMS’s recent announcement outlines federal requirements for healthcare provider taxes in Medicaid
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Skin Substitutes Provide Example of ACOs’ Role in Identifying Fraud, Waste, and Abuse
HarmonyCares’ Will Robinson outlines how high-needs ACOs helped CMS identify and address huge spikes in wound care spending
Surgery Partners Lowers Growth Forecast as Volumes, Payer Mix Shift
Investors hammered the company’s shares on the “prudent” guidance, even though CEO Eric Evans said he doesn’t see the slowdown being a long-term trend
Senate Approves Deal to End Government Shutdown Amid Healthcare Funding Dispute
A bipartisan vote in the Senate has led to the reopening of the government
Oculomics Startup Optain Acquires Teleophthalmology Network
Optain says partnership with EyePACS will allow for expanded access to retinal screening in primary care
Humana CEO: We’ll Slow New Sales If Needed to Protect Quality
CFO Celeste Mellet said the insurer is “not seeing anything” suggesting medical and pharmacy cost growth will slow in the coming year
Researcher: Corporatization Is Shifting the Incentives Across Healthcare
An academic researcher argues that business activity is rearranging incentives in healthcare
CMS Introduces GENEROUS Model to Lower Medicaid Drug Costs
The new drug payment initiative is designed to negotiate fairer prices for Medicaid
Survey Shows Healthcare Firms Facing Skills Shortage for Implementing GenAI
Despite high enthusiasm among healthcare staff for GenAI, many organizations struggle with deployment challenges
Reflections on 10 Years as a Long-Term Care ACO
At NAACOS meeting, LTC ACO’s Kristen Krzyżewski explains the savings opportunities available when taking a value-based care approach