A federal judge on Thursday vacated a Biden-era rule that would have allowed the government to intensify its audits of private Medicare plans and recoup billions of dollars in overpayments over the next decade. Judge Reed O'Connor of the Northern District of Texas granted health insurer Humana’s motion for summary judgment in its lawsuit challenging a CMS final rule from 2023 that would have increased so-called 'risk adjustment data verification,' or RADV, audits of Medicare Advantage plans, which verify that the diagnoses Medicare Advantage plans record for their members are supported in those members' medical records.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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