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OIG estimates 1 in 4 for-profit nursing homes not complying with infection control staffing rules

OIG estimates 1 in 4 for-profit nursing homes not complying with infection control staffing rules

Facilities reported challenges hiring and retaining qualified infection prevention personnel, according to the analysis by the HHS’ Office of Inspector General....

Updated COVID shots from Pfizer, Moderna cleared by FDA

Updated COVID shots from Pfizer, Moderna cleared by FDA

The reformulated messenger RNA vaccines are designed to more closely match currently circulating coronavirus variants. Article By: Ned Pagliarulo Blog...

Companies aren’t as resilient against cyber risks as they think

Companies aren’t as resilient against cyber risks as they think

Almost half of the companies surveyed said they need more than six days to recover their core business processes after...

Medicare Advantage prior authorization denials increased in 2022

Medicare Advantage prior authorization denials increased in 2022

More than 80% of denied requests were overturned when appealed, but few beneficiaries formally questioned the decisions. Article By: Emily...

Premiums for ACA plans to grow 7% next year: KFF

Premiums for ACA plans to grow 7% next year: KFF

Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025....

Appeals court hands providers latest win in No Surprises litigation

Appeals court hands providers latest win in No Surprises litigation

The 5th Circuit Court’s decision vacates instructions that arbiters should first consider the qualifying payment amount in deciding payments over contested out-of-network bills. Article...

Optum to lay off more than 500 workers in California

Optum to lay off more than 500 workers in California

The cuts will affect urgent care locations, primary and specialty care clinics, and infusion centers, as well as office and...