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Understanding facility, peer data called crucial to better Medicare Advantage negotiations - Vimarsana News

Understanding facility, peer data called crucial to better Medicare Advantage negotiations

Nursing homes have historically had little leverage in negotiations with Medicare Advantage plans, even as MA has come to cover an ever-larger number of skilled nursing beneficiaries. 

Reveleer Launches Prospective Risk Adjustment Enhancements, Leveraging AI to Close Care Gaps Proactively - Vimarsana News

Reveleer Launches Prospective Risk Adjustment Enhancements, Leveraging AI to Close Care Gaps Proactively

/PRNewswire/ -- Today, Reveleer, a healthcare technology company using artificial intelligence (AI) to empower data-driven healthcare for payers and providers...

J.P. Morgan Healthcare Conference Day 2 Summary - Vimarsana News

J.P. Morgan Healthcare Conference Day 2 Summary

I was listening carefully to the health plan numbers announced for enrollment and what trends they were seeing as to growth in Medicaid members versus commercial and Marketplace enrollment. Thankfully, none of the health plans reporting shared troubling numbers.

Day 2 Notes from the 41st Annual J.P. Morgan Healthcare Conference | Sheppard Mullin Richter & Hampton LLP - Vimarsana News

Day 2 Notes from the 41st Annual J.P. Morgan Healthcare Conference | Sheppard Mullin Richter & Hampton LLP

What do Centene, CVS Health-Aetna and Humana all have in common? (Trying really hard not to start off with a “three health plans walk into a bar” joke…). Well, if you were at the 41st...

Study: Telehealth follow-up linked to return emergency department visits - Vimarsana News

Study: Telehealth follow-up linked to return emergency department visits

According to a study published in JAMA Network Open, telehealth follow-up was associated with 28.3 more repeat ED visits per 1,000 patients compared with in-person care.