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Aetna may have received $25.5M in MA overpayments for 2015 and 2016, audit finds

Healthcare Dive

Medical records provided by the insurer didn’t support certain diagnosis codes, resulting in overpayments, according to an audit from the HHS’ Office of the Inspector General.

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Medicare Advantage bonuses poised to drop this year for first time since 2015, KFF says

Healthcare Dive

Still, plans are expected to rake in $11.8 billion in bonuses, with half of that tranche going to just two insurers: UnitedHealthcare and Humana.

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Are genAI-produced visit summaries the future?

Healthcare It News

In 2015, OpenNotes had enabled around 5 patients to have full access to their clinical notes via secure electronic portals. "This is a movement," said OpenNotes cofounder Tom Delbanco, former chief of the Division of General Medicine and Primary Care at BIDMC, when we first interviewed him a decade ago.

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Physician resident salaries stagnate through pandemic

Healthcare Dive

Nearly 30% of residents surveyed by Medscape said they feel fairly compensated for their work in 2022, compared with 62% in 2015.

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Cerner agrees to pay $1.9M to settle racial discrimination case

Healthcare Dive

Hiring bias, which Cerner denies, resulted in a notable shortfall of Black and Asian hires for certain positions between 2015 and 2019, federal regulators allege.

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New Zealand Telehealth Services transfers to new cloud

Healthcare IT News - Telehealth

Whakarongorau has been delivering free, government-funded, and round-the-clock national telehealth services across seven digital channels since 2015. It was announced that the government service will be an anchor tenant of IT giant Microsoft's upcoming hyper-scale cloud in New Zealand.

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OIG audit: Aetna may have raked in $25.5M in MA overpayments in 2015, 2016

Fierce Healthcare

million in overpayments from Medicare Advantage in 2015 and 2016. | million in overpayments from Medicare Advantage in 2015 and 2016. A new federal audit estimates that Aetna may have received at least $25.5 A new federal audit estimates that Aetna may have received at least $25.5