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Medicaid recipients who received hospital-at-home care in Massachusetts had strong outcomes, a new study found. Here are eight things to know from the May study in the Journal of the American Geriatrics Society: 1. Researchers studied 906 acute hospital care…

John Wigneswaran, MD, has been named chief operating officer of the American Medical Association, effective June 1, according to a May 19 news release shared with Becker’s. In his new role, Dr. Wigneswaran will oversee AMA’s business operations, health solutions,…

Seventeen Democratic senators are proposing to add home care coverage to Medicare for the first time, along with an expansion of Medicaid home- and community-based services. The proposed framework, published May 20, centers on creating a Medicare “home care guarantee,”…

As AI use cases expand, healthcare players have been working to ensure AI readiness among staff. Health insurers are no exception. While payer AI use has faced scrutiny, particularly over possible AI-driven denials, functionalities are much broader than what is…

Between 2014 and 2022, payments to Medicare Advantage brokers grew from $3.9 billion to $10.1 billion per year, according to a research letter published May 18 in JAMA Internal Medicine. Scholars with the Brown University School of Public Health in…

Payments from the $2.67 billion Blue Cross Blue Shield antitrust settlement began rolling out May 11, more than a decade after the original lawsuit was filed.  Six things to know: 1. The lawsuits alleged BCBS plans conspired to divide up…

Massachusetts will impose the strictest limits on health insurance cost-sharing in the country beginning in 2027, Gov. Maura Healey said May 18. Payers will be required to limit increases in member cost-sharing, including deductibles and copays, to no more than…