President Donald Trump’s firings at the Department of Health and Human Services included the entire office that sets federal poverty guidelines, which determine whether tens of millions of Americans are eligible for health programs such as Medicaid, food assistance, child care, and other services, former staff said. The small team, with technical data expertise, worked…
Adding generative AI and other AI tools to coding and chart review practices streamlines a complex process and better positions plans for risk adjustment audits. The post Medicare Advantage Audit Ready with AI appeared first on MedCity News.
President Donald Trump ratcheted up his administration’s reversal of transgender rights on Tuesday with an executive order that seeks to intervene in parents’ medical decisions by prohibiting government-funded insurance coverage of puberty blockers or surgery for people under 19. Trump’s order, titled “Protecting Children From Chemical and Surgical Mutilation,” is certain to face legal challenges…
GREELEY, Colo. — In early August, farmworkers gathered under a pavilion at a park here for a picnic to celebrate Farmworker Appreciation Day. One sign that this year was different from the others was the menu: Beef fajitas, tortillas, pico de gallo, chips, beans — but no chicken. Farms in Colorado had culled millions of…
When Jessica Staten’s kidney stones wouldn’t pass, she said, her doctor suggested a procedure to “blow ’em up.” She went to have it done last November at St. Joseph Medical Center in Bellingham, Washington, one of nine hospitals that the Catholic health system PeaceHealth operates in the Pacific Northwest and Alaska. “I was probably there…
Three panels. One great city. Can’t wait for the conversations at ISPOR 2024 in Montréal. GCEA: Where do we go from here? (14 May, 5-6pm)Should we finally rethink the 3% discount rate? (15 May, 3:15-4:15pm)How can HEOR support providers in value-based care? (16 May, 10-11am) I’ll be diving into all three — including teaming up with…
This data note analyzes the list of terminated and active awards the Trump Administration recently sent to Congress highlighting to assess the impact on global health awards.
Los recortes de gastos, la inmigración y Medicaid están bien arriba en la lista de prioridades en la agenda de Washington. Este clima politico ofrece un terreno fértil para que la desinformación y los mitos se multipliquen en las redes sociales. Algunos de los más comunes se enfocan en los inmigrantes, los latinos y Medicaid….
This issue brief identifies options and issues for PEPFAR to consider should it institute a new co-financing policy to encourage increased domestic resource mobilization from countries.
The Department of Justice has filed a complaint against Aetna, Elevance Health, Humana, eHealth, GoHealth, and SelectQuote, alleging that the insurers paid illegal kickbacks to brokers to boost enrollment in their Medicare Advantage plans. The post DOJ Sues MA Insurers, Brokers Over Alleged Kickbacks appeared first on MedCity News.