Medicare beneficiaries had about 60 million telehealth visits per year between 2021 and 2023, according to a February study published in Annals of Internal Medicine. Co-author and University of Utah assistant professor Terrence Liu, MD, broke down the findings March…
Author: Elizabeth Casolo
The Republican-controlled House Committee on Energy and Commerce sent letters March 3 to ten states — California, Colorado, Massachusetts, Maine, Nebraska, New York, Oregon, Pennsylvania, Vermont and Washington — requesting information on fraud, waste and abuse, as well as integrity…
This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with global periods of zero, 10 or 90 days. However, the…
CMS reported a record of nearly 47,000 comments on its Medicare Advantage payment proposal for 2027. The insurer-backed Better Medicare Alliance, an MA advocacy group, hosted an executive summit March 3, featuring CMS Director of Medicare and Deputy Administrator Chris…
Health insurance disenrollment is associated with greater death risk for opioid use disorder patients, according to a JAMA Psychiatry study published March 4. The study reviewed patients with both private and public insurance who were at least 16 years old…
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UnitedHealth Group reported only 10 subsidiaries in its U.S. Securities and Exchange Commission filings for 2025, down from thousands in 2024. UnitedHealth has expanded greatly over the last decade. For example, in 2022, UnitedHealth overcame federal antitrust concerns and was…
Clover Health said it is integrated with Kno2, the patient information exchange, according to a March news release from the company. Kno2 is a qualified health information network under the Trusted Exchange Framework and Common Agreement, and it is also…
In recent months, payers across the country have tried tightening policies to get a better grip on evaluation/management coding. While payers often say the policies aim to control costs or combat fraud, these more restrictive policies are often met with…
Health Alliance Plan promoted Chris Moyer to senior vice president of markets, broadening his role as president of ASR Health Benefits, a subsidiary and third-party administrator for employer health plans. According to a March 4 news release from HAP, which…
Minnesota filed a lawsuit against CMS and HHS, as well as their respective leaders, Mehmet Oz, MD, and Robert F. Kennedy Jr., regarding $243.8 million in deferred Medicaid funds, according to March 2 documents filed through the U.S. District Court…