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Humana teams with Mercy to expand access to virtual care

Humana has unveiled a new virtual care partnership with Missouri-based Mercy. (Getty/airdone) Humana is teaming with Missouri-based health system Mercy to grow access to virtual health resources. Humanas Medicare Advantage members will have in-network access to Mercy Virtual, the systems "hospital without beds," the companies announced Thursday. Mercy Virtual is staffed with more than 300 clinicians and provides care around the clock, including virtual primary care. As part of the partnership, ...
United States Jeremy Gaskill Medicare Advantage Mercy Virtual Real Payback Humana Medicare Advantage

Chutes & Ladders—Humana Military names new CMO; VillageMD hires HR chief

Humana Military, a wholly-owned subsidiary of Humana Inc. Mesiwala will serve as a member of the Humana Military leadership team and report to Brent Densford, who is president of Humana Government Business, Inc.–Humana Military. Humana Military is a convener of care for the TRICARE East region.  Mesiwala previously served as a senior medical director for value-based care and innovation for the University of Pittsburgh Medical Center Health Plan where she led the clinical design and imple...
United States Fort Worth Amy Flaster Stacy Saal Paul Henri Ferrand Barack Obama

Insurers urge SCOTUS to take a look at appeals court ruling on ACA cost-sharing reduction payments

Insurers are asking the Supreme Court on cost-sharing reduction payments. (Getty/BrianPIrwin) Two insurers are urging the Supreme Court to review a lower court decision that they say could prevent many plans from receiving the full amount in owed cost-sharing reduction payments. In a filing with the court (PDF) this week, Maine Community Health Options and Community Health Choice argue that the decision allows the government to avoid paying out its full obligation in CSR payments under the Affo...
United States Community Health Choice Maine Community Health Options Supreme Court Maine Community Affordable Care

When it comes to ED admission rates among Medicare patients, the doctor makes the difference

Feb 25, 2021 12:14pm In a study that looked at admissions among Medicare patients, there were wide variations in admission rates between physicians, according to the work by researchers from Beth Israel Deaconess Medical Center, as well as the Dartmouth Institute for Health Policy and Clinical Practice and Harvard Medical School. (Studio 642/Getty Images) Exactly which doctor a patient ends up seeing in an emergency department can have a big impact on whether or not they get admitted to the ho...
Health Affairs Beth Israel Deaconess Medical Center Harvard Medical School Dartmouth Institute For Health Dartmouth Institute Health Policy

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Kaufman Hall: Hospitals could lose between $53B and $122B this year due to pandemic

Feb 24, 2021 3:15pm As talks on Capitol Hill heat up over a new COVID-19 relief package, the American Hospital Association released a new report that shows hospitals could lose up to $122 billion this year. (Getty Images) Hospitals could lose between $53 billion and $122 billion due to the lingering effects of COVID-19, depending on the speed of vaccine distribution and complete recovery of patient volumes, according to a new report from Kaufman Hall. The report, released Wednesday and commissi...
United States Susan Collins Xavier Becerra Kaufman Hall Human Services American Hospital Association

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