CMS is recalculating some 2026 Medicare Advantage Star Ratings after a court ruled it improperly calculated Clover Health’s rating, a decision that could boost payments for a small number of insurers. The post CMS Recalculates Star Ratings — Again appeared first on MedCity News.
KFF Health News worked with three Louisiana news outlets — The Current, Gulf States Newsroom, and Verite News — to ask all 64 sheriffs in the state how they’ve spent their opioid settlement funds. The responses were shared and presented in a data table for all four newsrooms to use. Reporters then conducted individual reporting…
Eligible residents of VA Safe Haven program to receive hospital-level care from providers in their Safe Haven residence
Lines at the desk, phones ringing off the hook and a stack of insurance questions waiting to be resolved — this is the daily reality for many patient access teams. Today’s patients find these “front door” bottlenecks in healthcare particularly frustrating, especially since they can envision how much smoother the process could be with the…
SCAN Health Plan CEO Sachin Jain urged brokers to abandon for-profit plans that treat them poorly, but one broker argued they often can’t because dominant players like UnitedHealth Group control so much of the healthcare system. The post SCAN CEO Urges Brokers to Drop Plans That Treat Them Poorly — One Says She Has No…
Ambient AI is moving beyond clinical documentation, giving health system leaders new ways to measure workflow, improve safety, reduce variation, and strengthen procedural performance.
Prior KFF analysis allocated CBO’s federal Medicaid spending reductions and enrollment losses across the states, and this policy watch builds on that analysis to examine the potential impacts in expansion states compared with non-expansion states.
The bill clarifies very specific patient protections and codifies a Patient’s Bill of Rights, all of which would ensure that individuals receiving supplemental oxygen in the home – and their suppliers – understand requirements around equipment, communications, and care options. The post SOAR Act Would Help Individuals Relying on Oxygen Thrive appeared first on MedCity…
State Medicaid and public health agencies both work to advance the health of their communities, often pursuing similar priorities and serving similar populations. This brief examines findings from KFF’s 25th annual Medicaid budget survey, which asked state Medicaid directors about new or enhanced initiatives involving public health in FY 2025 or planned for FY 2026.
Scheduled for October 29 at Pegasus Park in Dallas, the theme of the INVEST Digital Health conference will be consumers in healthcare from d2c diagnostics to GLP-1 drugs and wearables. Register today! The post INVEST Digital Health Conference Returns with Focus on Consumers appeared first on MedCity News.