What is the Centers for Medicare and Medicaid Services’ New AHEAD Model?
(By Alice Burns for The Kaiser Family Foundation Published: Jan 02, 2024) In September 2023, the Centers for Medicare and
Read More
Healthcare Finance
U.S. government spent more on health care in 2022 than six countries with universal health care combined
(By Annalisa Merelli for STAT) American taxpayers footed the bill for at least $1.8 trillion in federal and state health
Read MoreHouse passes site-neutral policy, transparency, PBM reform package
(By Rachel Cohrs for STAT) WASHINGTON — The House passed a relatively major health care package late Monday, an end-of-year
Read MoreSenate committee launches bipartisan investigation into private equity ownership of hospitals
(By Brittany Trang for STAT) The two leaders of the Senate Budget Committee on Thursday launched a bipartisan investigation into
Read More10 payers audited for Medicare Advantage overpayments in 2023
(By Rylee Wilson for Becker’s Hospital Review) OIG audits found over $213 million in estimated Medicare Advantage overpayments in 2023.
Read MoreMedicare solvency would be extended 17 years under Medicare Advantage utilization rates: Study
(By Jakob Emerson for Becker’s Hospital Review) The Hospital Insurance Trust Fund would be solvent until 2048 if traditional Medicare
Read MoreFixing America’s health insurance woes is ‘actually very simple,’ says leading economist
(By Annalisa Merelli for STAT) Fixing the U.S. health care system can seem like a herculean task. But the solution
Read MoreFeds Hope to Cut Sepsis Deaths by Hitching Medicare Payments to Treatment Stats
(By Julie Appleby for KFF Health News) Don Smith remembers the moment he awoke in an intensive care unit after
Read MoreOIG: Aetna received estimated $25.5M in Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Aetna received $632,070 in overpayments for Medicare Advantage claims from 2015 to 2016,
Read MoreCVS Health ‘optimistic’ its Medicare Advantage star ratings will improve
(By Rylee Wilson for Becker’s Hospital Review) CVS Health CEO Karen Lynch said she is “optimistic” Aetna will improve its
Read More