Aetna scales its Clinical Collaboration program to ten hospitals, aiming to reduce 30-day Medicare readmissions and enhance care transitions for Medicare Advantage members by embedding nurses within hospital teams.
CVS Health's Aetna expands nurse-led program to reduce hospital readmissions among Medicare Advantage members, aligning with CMS readmission penalties effective 2027. Program enhances care coordination and post-discharge support in key U.S. hospitals.
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Medicare's updated physician fee schedule includes efficiency adjustments and recalculations that will reduce payments for many doctors, impacting physician income and patient access. Workforce shortages and policy adjustments underscore significant challenges in Medicare reimbursement.
Susan McGeehan received the W. Fred Cottrell Alumni Award for leadership in Medicaid managed care, LTSS, and integrated aging services, shaping policy and practice in long-term care.
Recent U.S. healthcare updates cover a $34.8M Medicare fraud case, HHS action on organ recovery agency safety, youth fitness legislation, and ACIP's hepatitis B vaccine deliberations.
Alexandra Gehrke faces sentencing for a $600 million Medicare healthcare fraud scheme targeting elderly patients, highlighting regulatory and compliance challenges in healthcare billing and Medicare oversight.
Examination of Q2 earnings for U.S. health insurers reveals growth trends, regulatory challenges, and economic factors shaping market performance in 2024.
Medicare to pilot AI-driven preauthorization program in six states as federal budget cuts threaten program funding and patient access.
New US legislation aims to prevent insurance companies from acquiring independent health clinics, addressing rising healthcare costs and market consolidation.
