by Jessica Casebolt | Jun 20, 2023 | Payers, Tea Leaves
The largest Medicare Advantage insurers want to cut benefits, increase premiums and make other structural changes to their plans next year to account for higher-than-anticipated medical expenses this year. Both Humana and United HealthGroup have reported that their...
by Jessica Casebolt | Jun 20, 2023 | Mental Health, Tea Leaves
A Modern Healthcare article discusses why gaps exist in mental health care insurance coverage. Some of the issues discussed include compliance with parity rules, prior authorizations, and lower reimbursements to mental health providers. The article also discusses the...
by Jessica Casebolt | Jun 20, 2023 | Life Sciences, Tea Leaves
The body mass index (BMI) metric has caused “historical harm,” including racist exclusion, according to a new report by the American Medical Association (AMA) Council on Science and Public Health. Doctors have long relied on BMI to measure obesity, but it...
by Jessica Casebolt | Jun 20, 2023 | Access & Coverage, Tea Leaves
Texas has joined a growing number of states extending the period in which new moms can qualify for Medicaid insurance after giving birth, offering coverage beyond the required 60 days postpartum to 12 months. On Friday, Texas Gov. Greg Abbott signed into law House...
by Jessica Casebolt | Jun 14, 2023 | Providers, Tea Leaves
In a new survey, 94 out of 100 senior health system executives polled by health care career marketplace Incredible Health in May described their nursing shortage as “critical,” and just over two-thirds said they don’t have adequate nursing staff to handle a...
by Jessica Casebolt | Jun 14, 2023 | Payers, Tea Leaves
Overpayments to insurers administering Medicare Advantage plans now exceed $75 billion a year due to aggressive coding of patients’ health conditions and easily achieved bonus payments tied to quality, researchers with the USC Schaeffer Center for Health Policy...
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