Post-AcuteCMS Announces Updates to Improve Safety and Quality of Long-term Care Facilities
The updates will go into effect in October to allow facilities and surveyors time to train.
Revenue CycleMolina Healthcare Settles False Claims Act Violation for $4.6M
The company allegedly submitted fraudulent Medicaid reimbursements while violating licensing and supervision of staff regulations.
PayerNonprofit Payers Push for Health Equity
Stakeholders want to increase access and support efforts to address social determinants of health.
PayerHHS Extends Deadline for States to Spend HCBS Funds
States now have through March 2025 to use American Rescue Plan dollars.
Human ResourcesBorrego Health to Lay-off 218 Staff, Cut Expenses
Affected staff have received 60-days' notice for the lay-offs, which will take effect on July 24.
Payer6 Markers of Growth, Loss, and Uncertainty from Moody's Q1 Insurer Report
EBITDA and Medicaid growth, commercial loses, higher medical loss ratios (MLR), and consolidation and subsidy doubts marked the quarter.
Payer6 Design Components from Sentara’s New Model of Care
Serving Medicaid and uninsured patients, the hyper-local model will address clinical and medical needs in targeted communities.
PayerAnthem Completes Acquisition of Integra Managed Care
The health company finalized the move to add the long-term care plan under its umbrella.
PayerBattle Lines Are Drawn Over California Deal with KP
The deal would allow KP to operate Medi-Cal plans in at least 32 counties without having to bid for the...
PayerPartnership HealthPlan of California Hacked
The Fairfield-based nonprofit is trying to determine if the secured access to the personal records of any of its more...
PayerCalOptima Unveils $100M, 5-year 'Strategic Vision'
The investment will fund technology that allows CalOptima to provide same-day authorizations and timely claims payments.
NursingWant Vulnerable Californians to Have Healthier Pregnancies? Doulas Say the State Must Pay Up.
Studies have associated doula care with a range of better birth outcomes, such as lower rates of cesarean sections, fewer...