Risk Management
Stocks slide after Q4 revenue and full-year revenue outlook fall short of forecasts.
"When considering estimated risk score trend in MA driven by coding practices and population changes, the expected average change in payments will be 2.54%," CMS says.
The insurer turns risk adjustment into its own business, says Sen. Chuck Grassley, chairman of the Senate Committee on the Judiciary.
The bill touts lowering ACA premiums through an old route, cost-sharing reduction payments for insurers.
As the deadline to extend the enhanced premium tax credits nears, Republicans are coming up with their own plan, Politico reports.
Senate Republicans are reportedly divided over how to handle rising health insurance premiums.
Simplify HCC coding to prevent "gaming" of system, says Alliance of Community Health Plans.
The rule would cause at least 1.8M Americans to lose ACA coverage in 2026, says lawsuit.
Humana says it supports limiting payment for diagnoses made by nurse practitioners during home visits.
Amprion recently partnered with Mayo Clinic Labs to expand access to tests on Parkinson's, Lewy body dementia and multiple system atrophy, says CEO Russ Lebovitz.