AHA wants False Claims Act enforcement of Medicare Advantage care denialsAHA wants False Claims Act enforcement of Medicare Advantage care denialsAHA wants False Claims Act enforcement of Medicare Advantage care denials

AHA wants False Claims Act enforcement of Medicare Advantage care denials

There is debate over whether insurers could be subject to the False Claims Act if they routinely deny care they told CMS they would cover.

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Digital health execs on health system reluctance: ‘Partnering with people isn’t a bad thing’Digital health execs on health system reluctance: ‘Partnering with people isn’t a bad thing’Digital health execs on health system reluctance: ‘Partnering with people isn’t a bad thing’

Digital health execs on health system reluctance: ‘Partnering with people isn’t a bad thing’

While some executives at health systems are eager to change, digital health company leaders still see a reluctance to change from incumbents.

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Virginia's reinsurance program earns federal approvalVirginia's reinsurance program earns federal approvalVirginia's reinsurance program earns federal approval

Virginia's reinsurance program earns federal approval

The program will reimburse individual market insurers for claims between $40,000 and $155,000, with a 70% coinsurance rate.

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Cancer deaths in Black people drop; still higher than othersCancer deaths in Black people drop; still higher than othersCancer deaths in Black people drop; still higher than others

Cancer deaths in Black people drop; still higher than others

An earlier report from the American Cancer Society found the racial gap was narrowing, mostly because of a bigger decline in cigarette smoking among Black people.

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Court tosses $300,000 hospital bill for promised $1,300 tabCourt tosses $300,000 hospital bill for promised $1,300 tabCourt tosses $300,000 hospital bill for promised $1,300 tab

Court tosses $300,000 hospital bill for promised $1,300 tab

The court ruled that French never agreed to those charges since they weren’t specifically mentioned in the contracts.

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Inspection results endanger DMC Receiving Hospital's Medicare, Medicaid eligibilityInspection results endanger DMC Receiving Hospital's Medicare, Medicaid eligibilityInspection results endanger DMC Receiving Hospital's Medicare, Medicaid eligibility

Inspection results endanger DMC Receiving Hospital's Medicare, Medicaid eligibility

A May inspection found that the hospital was not in compliance with CMS rules around nursing after a 52-year-old patient developed bedsores during an emergency room visit in January.

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20 years after spate of hospital deaths, ex-worker accused20 years after spate of hospital deaths, ex-worker accused20 years after spate of hospital deaths, ex-worker accused

20 years after spate of hospital deaths, ex-worker accused

Jennifer Anne Hall, a former respiratory therapist at Hedrick Medical Center, was charged with first-degree murder in a death that occurred 20 years ago at the hospital, and it's unclear if she will be charged in others that happened during her tenure.

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AMA-led collaboration launches care equity and quality mentorship programAMA-led collaboration launches care equity and quality mentorship programAMA-led collaboration launches care equity and quality mentorship program

AMA-led collaboration launches care equity and quality mentorship program

Eight health systems will take part in the first phase of the program, intended to help industry leaders network and learn to apply an equity lens to quality and safety practices.

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With Roe in doubt, some fear tech surveillance of pregnancyWith Roe in doubt, some fear tech surveillance of pregnancyWith Roe in doubt, some fear tech surveillance of pregnancy

With Roe in doubt, some fear tech surveillance of pregnancy

Privacy experts fear that pregnancies could be surveilled and the data shared with police or sold to vigilantes.

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Cerebral CEO pushed out amid growing company scrutinyCerebral CEO pushed out amid growing company scrutinyCerebral CEO pushed out amid growing company scrutiny

Cerebral CEO pushed out amid growing company scrutiny

President and Chief Medical OfficerDavid Mou will replace Kyle Robertson, Cerebral said.

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