3+ day, 21+ hour ago   (1387+ words) The CMS released draft star ratings, including the thresholds for reaching those ratings, to plans earlier this week. The grading sheet got stricter, which doesn’t bode well for insurers. Medicare Advantage insurers could see their star ratings fall next year…...

3+ day, 22+ hour ago   (37+ words) healthcaredive.com Don't miss tomorrow's healthcare industry news Veterans Affairs taps Amwell for telehealth revamp It’s another prong in the agency’s digital health modernization project, which has faced setbacks and delays....

3+ day, 22+ hour ago   (266+ words) Simeon Kohl will be the company’s third chief executive this year as it refocuses on AI and works through revenue declines. New title: CEO, president, board member, Health Catalyst Kohl, who brings more than 20 years of healthcare operations experience, will…...

3+ day, 23+ hour ago   (358+ words) Over 700 hospitals shuttered their maternity wards between 2010 to 2024, according to a new report. Maternity wards are common targets for financially strained hospitals looking to cut costs, as they’re expensive to maintain and rely heavily on reimbursements from Medicaid, which providers…...

4+ day, 21+ hour ago   (279+ words) The health system will outsource some of its information technology roles, citing increasingly complex technology and financial strain as key drivers for the move. Trinity, which operates 91 hospitals and employs 133,000 workers across 23 states, will conduct the layoffs in October and…...

5+ day, 22+ hour ago   (242+ words) The contract lapse comes as the health system and cancer institute are winding down a decades-old partnership. Mass General Brigham Health Plan has announced that it’s eliminating the Dana-Farber Cancer Institute from its Medicare Advantage network Oct. 1. The insurer said…...

6+ day, 3+ hour ago   (495+ words) For years, improving Star Ratings often meant adding another quality initiative. Another outreach campaign. Another worklist. Another process designed to improve a specific measure. Today, many Medicare Advantage plans are taking a different approach. Rather than managing quality measure by…...

1+ week, 4+ day ago   (599+ words) The codes span a broad range of services across multiple specialties, including oncology and cardiology, orthopedic and musculoskeletal procedures and genetic and lab testing. Providers generally loathe prior authorization, a controversial process requiring them to get an insurer’s OK before…...

1+ week, 4+ day ago   (323+ words) Daniel Chojnowski, JHHP’s current CFO, will provide stability so that the Baltimore-area insurer can recruit full-time for its next chief executive, the company said. Johns Hopkins Health Plans is elevating its finance leader to interim CEO while the Baltimore-area managed…...

1+ week, 5+ day ago   (390+ words) Some 7.6% of emergency department visits are currently paid in cash, up from 5.5% in 2022, according to a new study from the EHR giant’s research division. Medicaid grew to a record size during the pandemic, covering some 1 in 4 Americans as states halted…...