Reimbursement
Precedent-setting case will affect providers nationwide when they feel insurers have breached their contracts, according to attorney.
MMM President Orlando Gonzalez and COO Manny Sanchez say the devastating storm illustrated how the payer has to continually innovate.
Gawande described the new company as a long target rather than an instant solution to healthcare.
For the first time, commercial payers rather than government lines of business are leading adoption, a report from Change Healthcare says.
Cordani will replace current chair Bernard Tyson, CEO of Kaiser Permanente, in 2019; WellCare CEO Ken Burdick named co-chair.
AHIP focuses on the impact that a preliminary injunction or declaratory relief would have on patients, health insurance providers and states.
The Centers for Medicare and Medicaid Services will reverse a longstanding unpopular position on reimbursement for smartphone-connected continuous glucose monitors, CMS announced.
Between 2014 and 2016, total payments fell short by more than $12 billion.
The Kentucky-based skilled nursing provider also allegedly forged pre-admission certifications of patient need for skilled nursing to Tennessee's Medicaid program, DOJ said.
For the first time, CMS is holding a state fully at risk for the total cost of care for Medicare beneficiaries.