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CMS’ Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs

Healthcare Law Blog

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Refining Definitions for Fully Integrated and Highly Integrated D-SNPs (§§ 422.2

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While National Health Care Spending Growth Slowed in 2017, One Stakeholder’s Financial Burden Grew: The Consumer’s

Health Populi

National health care spending growth slowed in 2017 to the post-recession rate of 3.9%, down from 4.8% Per person, spending on health care grew 3.2% to $10,739 in 2017, and the share of GDP spent on medical care held steady at 17.9%. Underneath these macro-health economic numbers is the fact that inflation averaged 1.6%

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Cigna Ends Acquisition Talks with Humana, Announces $10B Share Repurchase Plan

HIT Consultant

What You Should Know: – Health insurer Cigna has called off its attempt to acquire rival Humana after failing to reach an agreement on price, according to sources familiar with the matter, CNBC first reports. This latest development highlights the ongoing challenges of consolidation in the sector.

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CVS Health in Talks to Acquire Signify Health

HIT Consultant

Wall Street has largely focused on CVS’s efforts to add primary-care practices and doctors to its payroll, though executives have also discussed their ambitions to expand its in-home health presence. Signify uses analytics and technology to help health plans, employers, physician groups and health systems with in-home care.

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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. Once the new rules were published, Vista Health Plan, Inc., 2018 Final Rule, 83 Fed.

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Trust in Healthcare is Under Stress in the US and Globally, Edelman Finds

Health Populi

Year-on-year, different spikes and ups-and-downs call out for special mention, such as: Pharma’s 13-point steep dive to 38% between 2017 and 2018, dramatically recovering by 9 points in the last year to 47% [with the wild card here of whether U.S. to approve Medicare’s negotiation of drug prices with pharmaceutical companies].

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Anesthesia, Eye Care, and Telehealth Providers Announce Third-Party Data Breaches

HIPAA Journal

The breach involved names, Social Security numbers, dates of birth, driver’s license numbers, financial account information, health insurance policy numbers, medical record numbers, Medicaid/Medicare IDs, and health information, including diagnosis and treatment information.

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