The federal agency responsible for regulations governing standardization of electronic transactions and data accessibility for consumers is ramping up adherence efforts. The Department of Health and Human Services is launched a pilot auditing program, starting with health plans and claims clearinghouses, to ensure industry stakeholders are complying with HIPAA-related rules governing electronic healthcare transactions. In… Read More »
The share of Medicare Advantage primary care physician plans with broad networks has increased and enrollment in these plans is growing even more, according to analysis published this month in Health Affairs. The study, which claims to be the first longitudinal and national analysis of MA primary care physician networks, used a claims-based method for… Read More »
The Centers for Medicare and Medicaid Services today finalized payment updates to Medicare Advantage and Part D plans for 2020. MA rates increase 2.53 percent. This includes the phasing-in of a risk adjustment model that takes into account the number of chronic conditions a person has, according to CMS Administrator Seema Verma. CMS originally had… Read More »
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Oct. 17, 2018 — Only two of 25 U.S. burger chains surveyed earned a top rating for serving beef raised without the routine use of antibiotics, according to a new report issued by six consumer groups. One other restaurant chain earned a D-minus. The other 22 failed. Earning A’s were Shake Shack and Burger Fi.… Read More »
Sen. Lisa Murkowski, R-Alaska, said that limited health insurance options in her state were a primary factor in her decision to vote against a Democratic resolution that would have curtailed cheap short-term health plans promoted by the Trump administration as an alternative to Obamacare plans. The centrist GOP senator had voted several times against Obamacare… Read More »