Susan Morse

The hacker who targeted Anthem in early 2015, exposing more than 78 million customer records in one of the largest healthcare breaches ever, was acting on behalf of a foreign government.

Nonprofit hospital aiming to improve collections, pre-registration rates and reduce claims denials, an official said. 

The Centers for Medicare & Medicaid Services on Dec. 20 unveiled a new final rule it said would offer a simpler path for physicians to join alternative payment models to satisfy the requirements of the Medicare Access and CHIP Reauthorization Act of 2015.

CMMI said one model will test a four-step process to integrate shared decision-making into clinical practice while the other focuses on shared decision-making outside the doctor’s office. 

Sessions will also step into AG role during the Department of Justice’s mega-merger injunctions against Anthem and Cigna as well as Aetna and Humana. 

The Georgia Representative and Affordable Care Act opponent supports the use of health savings accounts and capping tax breaks for employer-based coverage. 

Andrew Bremberg, an advisor to Senate Majority Leader Mitch McConnell and former Health and Human Services employee, will lead workflow, policy and personnel for the transition team. 

The massive scheme at Fort Hood, Texas, involved prescribing pain creams to military personnel and disguising payments. 

Executives involved with the code switch said the first year went smoothly. But they are now expecting a new level of difficulty in the next 18-24 months while coders must be more precise for CMS and private insurers to accept and pay claims. 

The insurer is adding American Well's AMWell service to its existing MDLive options to enable doctors to treat patients with minor medical conditions remotely.