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Insurers Nervously Await Proposed Medicare Advantage Rates
The health insurance industry will be closely watching on Friday when the CMS is scheduled to release initial guidance on Medicare Advantage rates for 2015.
The health insurance industry will be closely watching on Friday when the CMS is scheduled to release initial guidance on Medicare Advantage rates for 2015. The trade group America's Health Insurance Plans has been waging an aggressive marketing campaign, called “Seniors Are Watching,” in Washington and beyond to stave off rate cuts.
Insurers anticipate unfavorable news. In a recent filing with the Securities and Exchange Commission, Humana said it expects a cut of 6% to 7% for 2015, up from the 4% to 5% previously anticipated.
But even if the CMS proposes cuts, they won't necessarily go through. Last year, the CMS initially proposed a 2.2% cut. But after heavy lobbying by insurers, the Obama administration—which needs insurance industry support for Obamacare—increased rates by 3.3%.
Read the full story here: http://bit.ly/1f9kTma
Source: Modern Healthcare
New AI Tool Identifies Undiagnosed PNH in Health Records
October 30th 2024The machine learning model shows promise in detecting paroxysmal nocturnal hemoglobinuria (PNH) by assessing electronic health records (EHR) data, potentially transforming the diagnostic landscape for rare diseases.
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Sustaining Compassionate Trauma Care Across Communities
September 30th 2024September is National Recovery Month, and we are bringing you another limited-edition month-long podcast series with our Strategic Alliance Partner, UPMC Health Plan. In our final episode, we speak with Lyndra Bills, MD, and Shari Hutchison, MS.
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More Accurate Detection of Self-Injurious Behavior Needed for Minoritized Youth
October 29th 2024A recent retrospective, cross-sectional study found that detecting self-injurious thoughts and behaviors in youth requires improvement to ensure equitable identification of at-risk patients.
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