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Direct-contracting won't hurt Advantage business, CMMI director says

Direct-contracting won't hurt Advantage business, CMMI director says

By Susannah Luthi  |  October 16, 2018

The Trump administration is looking at new risk structures, including direct provider contracting, to drive cost-saving behaviors in the healthcare industry. But CMMI Director Adam Boehler said that won't dent the Medicare Advantage business.

Medicare Advantage riding high as new insurers flock to sell to seniors

Medicare Advantage riding high as new insurers flock to sell to seniors

By Phil Galewitz  |  October 15, 2018

Healthcare experts widely expected the Affordable Care Act to hobble Medicare Advantage. But Since 2010, enrollment in Medicare Advantage has doubled to more than 20 million enrollees, growing from a quarter of Medicare beneficiaries to more than a third.

Week Ahead: Kicking off earnings season

Week Ahead: Kicking off earnings season

By Rachel Z. Arndt  |  October 13, 2018

UnitedHealth Group leads the pack into earnings season with its third-quarter results. In the second quarter, the company reported both higher revenue and profit.

CMS warns of patient safety risks at Texas hospital

By Virgil Dickson  |  October 10, 2018

The only hospital in Grand Prairie, Texas, has come under CMS scrutiny after several visits revealed that untrained personnel were caring for patients or patients were not receiving needed treatment.

CMS' readmissions program changes hit specialty hospitals

CMS' readmissions program changes hit specialty hospitals

By Maria Castellucci  |  October 05, 2018

Recent changes to the CMS' Hospital Readmissions Reduction Program will result in smaller penalties at teaching and community hospitals and larger penalties at specialty hospitals, according to a Modern Healthcare analysis.

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