Wednesday, October 20, 2021

M&A activity for in-home care providers inches upward in third quarterM&A activity for in-home care providers inches upward in third quarterM&A activity for in-home care providers inches upward in third quarter

M&A activity for in-home care providers inches upward in third quarter

The number of mergers and acquisitions among home health, hospice and home care companies during the third quarter was the second highest it's been in three years.



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Feds: UnitedHealthcare pocketed $3.7 billion in questionable Medicare Advantage paymentsFeds: UnitedHealthcare pocketed $3.7 billion in questionable Medicare Advantage paymentsFeds: UnitedHealthcare pocketed $3.7 billion in questionable Medicare Advantage payments

Feds: UnitedHealthcare pocketed $3.7 billion in questionable Medicare Advantage payments

Forty percent of UnitedHealthcare's claims come from care patients may not have needed or received.



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Former CMMI director joins home & community-based services CareBridgeFormer CMMI director joins home & community-based services CareBridgeFormer CMMI director joins home & community-based services CareBridge

Former CMMI director joins home & community-based services CareBridge

Former CMMI Director Brad Smith has joined home- and community-based services company CareBridge as executive chairman.



from Section Page News - Modern Healthcare https://ift.tt/3vvDpzB

Hospitals urge CMS to move ahead with Trump-era prior authorization ruleHospitals urge CMS to move ahead with Trump-era prior authorization ruleHospitals urge CMS to move ahead with Trump-era prior authorization rule

Hospitals urge CMS to move ahead with Trump-era prior authorization rule

The rule, which was proposed by the Trump administration, would shorten the amount of time some payers have to make decisions on prior authorization requests.



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Senators: American Rescue Plan's $8.5B rural fund should go to rural providers onlySenators: American Rescue Plan's $8.5B rural fund should go to rural providers onlySenators: American Rescue Plan's $8.5B rural fund should go to rural providers only

Senators: American Rescue Plan's $8.5B rural fund should go to rural providers only

A group of senators is taking issue with how the Biden administration is allocating the $8.5 billion rural fund, some of which is going to large providers.



from Section Page News - Modern Healthcare https://ift.tt/3jn0Eah

Breaking down BCBSA's executive hiring spreeBreaking down BCBSA's executive hiring spreeBreaking down BCBSA's executive hiring spree

Breaking down BCBSA's executive hiring spree

With these two new hires, Blue Cross Blue Shield Association has added six new executives since CEO Kim Keck took the helm of the 35-health plan organization in January.



from Section Page News - Modern Healthcare https://ift.tt/3DXKkEJ

‘They treat me like I’m old and stupid’: Seniors decry health providers’ age bias‘They treat me like I’m old and stupid’: Seniors decry health providers’ age bias‘They treat me like I’m old and stupid’: Seniors decry health providers’ age bias

‘They treat me like I’m old and stupid’: Seniors decry health providers’ age bias

Ageism in healthcare settings, which can result in inappropriate or dangerous treatment, is getting new attention during the COVID pandemic, which has killed more than half a million Americans age 65 and older.



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5 things about Ensemble Health Partners' IPO plans5 things about Ensemble Health Partners' IPO plans5 things about Ensemble Health Partners' IPO plans

5 things about Ensemble Health Partners' IPO plans

Ensemble Health Partners plans to raise up to $746.35 million in an initial public offering that the revenue-cycle management company first announced in September.



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California’s mental health crisis: What went wrong? And can we fix It?California’s mental health crisis: What went wrong? And can we fix It?California’s mental health crisis: What went wrong? And can we fix It?

California’s mental health crisis: What went wrong? And can we fix It?

An expert panel discussion illuminated challenges that arise when California puts insurance companies in charge of delivering critical health services, while also providing an overview of the ambitious policy changes Gov. Newsom's administration is pushing.



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CMMI official pushes for more participation in value-based care models CMMI official pushes for more participation in value-based care models CMMI official pushes for more participation in value-based care models

CMMI official pushes for more participation in value-based care models

The Biden administration hopes to increase participation in alternative payment models as a way to save the government money and improve care for beneficiaries, a senior official said Wednesday.



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