Medicare Advantage annual enrollment kicked off Oct. 15, and the ACA open enrollment period is around the corner. Employers are also navigating cost pressures, opening the door to innovative plans. Insurers have been primed to consider new health plans across…
The Latest
A single locum tenens assignment can scatter its costs across several systems. A staffing coordinator books the airfare. Lodging goes on a corporate card. The agency invoices its fees separately. Ground transportation, meals and reimbursements arrive later on expense reports,…
Presented by:
Academic medical centers are measured in large part by how well they develop independent clinician-investigators. That talent pipeline determines who will advance the institution’s research mission and generate practice-changing oncology evidence in the years ahead. With EHR-derived multimodal real-world data…
Presented by:
- Umang Swami, MD, MSCI, FASCO, Associate Professor, Division of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah
- Neeraj Agarwal, MD, FASCO, Medical Oncologist, Dana-Farber Cancer Institute; Co-Director, Prostate Cancer Program, Dana-Farber Cancer Institute, Harvard Cancer Center
- Neal J. Meropol, MD, FASCO, Strategic Advisor, Flatiron Health
Ghost networks have long been a point of frustration, with health plan members sometimes left scrambling to check if a provider is in network — or available at all. Several health insurers — including Elevance Health and Blue Shield of…
Connecticut will start distributing health insurance subsidies worth up to $1,200 annually to early childhood educators on Jan. 1. According to the Connecticut Office of Early Education, the subsidy is available to all early childhood educators eligible for coverage through…
Georgetown University McCourt’s Center for Children and Families will kick off a one-year research study exploring the fallout of Medicaid work requirements and six-month redeterminations, according to an Oct. 23 news release. Georgetown and research firm PerryUndem will connect with…
Centene has become the latest payer to sue HHS and CMS over its 2027 Medicare Advantage star ratings, filing a complaint Oct. 22 in the U.S. District Court for the Southern District of Georgia. The action comes under the Administrative…
Kraft Heinz and Ralph Lauren are among a group of six large self-insured employers suing UnitedHealth, alleging the insurer routinely approved and paid false, fraudulent and inflated medical claims with their employee health plan money while pocketing undisclosed fees. The…
Missing or incomplete documentation, unbilled time units and procedures, and inadequate reimbursements can leave anesthesia revenue uncollected. Identifying opportunities to reduce revenue leakage requires a closer look across the revenue cycle – from charge capture and payer contract management to…
Presented by:
- Sheri Fels, Senior Director – Account Management, Medusind
- Alan Morales, EVP of Account Management, Medusind
CMS proposed a rule Oct. 23 that would require exchanges to verify eligibility before providing financial assistance to consumers. CMS expects that its proposal would result in 332,500 fewer individuals on the exchanges each year. The proposed rule intends to…
