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Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Humana’s Medicare Advantage dilemma worsens amid precipitous drop in 2025 star ratings

Only 25% of Humana members will be in plans with four stars or above next year, down from 94% this...

Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use disorder

Lawmakers urge Biden administration to extend telehealth prescribing flexibilities for opioid use disorder

A bipartisan group of two dozen representatives pushed officials to preserve the pandemic-era prescribing changes for buprenorphine, arguing telehealth increases...

The unexpected consequences of hospital quality scores

The unexpected consequences of hospital quality scores

One clinical affairs expert argues that it’s time to reexamine the federal Hospital-Acquired Condition Reduction Program. Article By: Alice Brewer...

Remote patient monitoring in Medicare needs more oversight

Remote patient monitoring in Medicare needs more oversight

Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is...

US is drastically behind other wealthy nations on healthcare, despite spending the most

US is drastically behind other wealthy nations on healthcare, despite spending the most

The Commonwealth Fund analyzed the healthcare systems of 10 nations and found the U.S. ranked last in access to care,...

Remote patient monitoring in Medicare needs more oversight

Remote patient monitoring in Medicare needs more oversight

Regulators say Medicare needs more data and oversight to avoid fraud and misuse. Digital health advocates argue the service is...

Telehealth providers at a crossroads: Navigating insurance, compliance and cash-only models amid state regulations

Telehealth providers at a crossroads: Navigating insurance, compliance and cash-only models amid state regulations

Providers using telehealth face an evolving landscape, and they must balance complexities around insurance, regulatory compliance and data privacy, argues...

CMS says data breach at contractor could affect more than 946,000 Medicare beneficiaries

CMS says data breach at contractor could affect more than 946,000 Medicare beneficiaries

The incident was related to a vulnerability in the MOVEit file transfer software, which was linked to data breaches at thousands...

Biden administration finalizes rule raising mental health coverage standards for private plans

Biden administration finalizes rule raising mental health coverage standards for private plans

The rule gives additional teeth to an almost 16-year-old law meant to force health insurers to cover mental health and...

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....