Susan Morse
A Kaiser health plan did not make the 5-star list for 2024, but two plans by lesser known Devoted Health did.
Both sides credit Acting Secretary of Labor Julie A. Su in reaching an agreement.
This year, 31 plans earned 5 stars, compared to 57 in 2023 and 74 in 2022.
Numerous telehealth flexibilities allowed under the pandemic will need to be decided on a more permanent basis, ATA says.
While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.
More than 7 million have lost Medicaid coverage, with states taking widely different approaches to the redetermination process, says John Barkett.
Automation, and now AI, can handle the easy tasks such as administrative form filling.
Episode-based payment incentives must be aligned across other value-based models, CMS says.
Dr. Maria Ansari is first woman to become CEO and executive director of The Permanente Medical Group
Ansari has also been named president and CEO of the Mid-Atlantic Permanente Medical Group and co-CEO of The Permanente Federation.
Fifty-three percent of medical devices have vulnerabilities known to cybercriminals, says Mark Bowling of ExtraHop.