Medicare & Medicaid

HHS released information blocking proposed rule with monetary disincentives to increase electronic health information sharing.

Disputing parties would be encouraged to negotiate before initiating the IDR process, departments say.

CMS is expected to issue a final rule after the comment period ends on November 6.

Centene expects the majority of redeterminations to be completed by May 2024.

Groups with the highest gains in coverage because of Medicaid expansion include non-Hispanic Blacks, young adults and women.

<p>The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.</p> <p>  </p>

The Global and Professional Direct Contracting Model is now ACO REACH.

Pushing the needle on value-based care will require buy-in from employers, says Susan Dentzer, president and CEO of APG.

This will reach about 1.6 million Medicare-eligible adults, pending regulatory approvals, companies say.

A Kaiser health plan did not make the 5-star list for 2024, but two plans by lesser known Devoted Health did.