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Senate report says UHG used ‘aggressive strategies’ to increase MA payments
A Senate Judiciary Committee report released Jan. 12 found that UnitedHealth Group used “aggressive strategies” to maximize its Medicare Advantage risk-adjustment scores and collect higher payments from diagnoses of MA enrollees.
AHA podcast: How Mobile Training Is Saving Lives in Rural Iowa
Tina Eden, R.N., CEO of Virginia Gay Hospital, and Jacinda Bunch, Ph.D., R.N., assistant professor at the Iowa College of Nursing and senior advisor to Simulation in Motion-Iowa, or SIM-IA, dive into how this mobile clinical education program is delivering high-impact simulation training directly to rural hospitals and EMS teams.
AHA, other groups: It’s wrong to tell hospitals they ‘are to’ complete drug acquisition cost survey
Several health care groups, including the AHA, Jan.
CMS issues RFI on effort to revamp Medicare claims system
The Centers for Medicare & Medicaid Services has released a request for information seeking input on replacing its Medicare claims processing system with a real-time, cloud-based platform.
Extending Care Capabilities: Using Machine Learning in Nursing
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AHA urges MedPAC to recommend higher payment updates ahead of January meeting
The AHA Jan. 9 urged the Medicare Payment Advisory Commission to consider, during its next meeting Jan. 15-16, higher payment updates for the inpatient and outpatient prospective payment systems than those discussed in December and to examine Medicare Advantage’s role in access to care and provider financial stability.
Study examines declines in availability of hospital-based obstetric services by county
A study published Jan. 7 by the University of Minnesota Rural Health Research Center examined the availability of hospital-based obstetric services in the U.S. by county from 2010-2023. It found 293 counties (8.6%) nationwide lost all hospital-based obstetric services during that period.
Blog takes deeper look into hospital and health system contributions to their communities
An AHA blog published Jan. 8 highlights an EY analysis prepared for the AHA on the ways nonprofit hospitals and health systems contribute to their communities and deliver community benefits, as reported in the IRS Schedule H, that far outweigh the value of their tax exemption.