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The Minnesota Department of Human Services told Becker’s Oct. 15 that it may need to claw back funds from Medicaid…
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Epic is working with Amazon Pharmacy, Mark Cuban Cost Plus Drugs and other pharmacy companies to develop a tool that will allow clinicians and patients to compare prescription drug prices directly within its EHR system. The new feature, called Prescription…
The American Hospital Association has launched a website to help hospitals and health systems prepare for electronic prior authorization requirements that take effect Jan. 1, 2027. Major provisions of CMS’ 2024 Interoperability and Prior Authorization Final Rule begin on that…
Molecular residual disease (MRD) testing is moving into the next phase of precision oncology, extending molecular insight past diagnosis and treatment selection into post-treatment monitoring, surveillance and survivorship. For health systems, the question is not whether to add another test.…
Presented by:
- Rick Baehner, MD, Chief Medical Officer, Precision Oncology Abbott Cancer Diagnostics, Clinical Professor of Pathology,, University of California, San Francisco
Erin Brewer is joining Blue Shield of California’s board of directors. Ms. Brewer had served as CFO of Lyft since 2023, and she now serves the company in an advisory capacity. Previously, she held leadership roles at Charles Schwab, Atlassian,…
Mass General Brigham Health Plan is launching a new Value HMO product for large employers on Jan. 1. The HMO uses a high-value provider network, rather than a broader network. The HMO includes access to hospitals and affiliated providers under…
Kaiser Permanente led the 2027 U.S. News & World Report ratings for the “best overall” Medicare Advantage companies. The ratings, published Oct. 14, are based on a five-point scale, assigning weights to more than 30 CMS quality measures. After calculating…
Value-based care promised better outcomes at lower cost. Years of effort and millions in infrastructure later, payer leaders are asking a blunt question: is it delivering? On Oct. 21, join us for a candid discussion built for payer leaders that…
Presented by:
- Tim Smith, ASA, MAAA, MS, Chief Actuary, Arbital Health
- Niall Brennan, Chief Data and Analytics Officer, Horizon BCBS
- Ali Khan, MD, MPP, FACP, Advisor, Andreessen Horowitz, Former CMO of Medicare, Aetna
The IRS and Treasury Department have proposed regulations, published Oct. 15, to implement HR 1 provisions and reform premium tax credits for ACA exchanges. “The proposed rules protect eligible taxpayers while strengthening the integrity of the premium tax credit,” IRS…
CMS has reinstated a small number of enrollees who lost coverage after the agency canceled ACA policies for more than 760,000 people, according to a KFF Health News report published Oct. 15 in NPR. KFF Health News learned of the…
CMS released 2027 Medicare Advantage star ratings on Oct. 8, giving more insight into the MA landscape beyond health plans’ marketing materials. Contracts receive a rating each year, ranging from one to five stars. The ratings help beneficiaries compare plans,…
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