CMS expands audits to crack down on Medicare Advantage overpayments
The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.
CVS names new president of Oak Street Health
Creagh Milford is taking the reins at the value-based medical group for seniors after Oak Street’s previous president decided to step down to spend more time with his family.
New Mountain combines portfolio companies to launch AI revenue cycle firm
The deal merges Access Healthcare, SmarterDx and Thoughtful.ai to create Smarter Technologies, which the private equity firm said will serve more than 60 hospitals and health systems.
Ascension still chasing financial turnaround after last year’s cyberattack
The nonprofit health system says it has made progress toward recovering from last year’s massive cyberattack. However, it still posted losses during the third quarter of its fiscal year.
Judge denies Florida Blue’s request to bump star ratings
The insurer sued the CMS late last year, arguing that flooding in Broward County should have qualified as an extreme and uncontrollable event relieving Florida Blue from star ratings decreases. A federal judge disagreed.
FDA sets stricter approval standards for COVID vaccines
The agency will now require randomized, controlled data before approving new COVID shots for healthy children and adults.
Ohio’s Kettering Health hit by cyberattack
Elective inpatient and outpatient procedures at the health system’s facilities were canceled Tuesday.
UnitedHealth downgraded by investment banks
TD Cowen, Raymond James and Bank of America have all downgraded UnitedHealth’s stock, citing dogged internal challenges facing the company.
Hacking, ransomware driving more healthcare data breaches: study
Hacking and IT incidents accounted for 88% of patient records exposed from 2010 to 2024, while ransomware made up nearly 40%, according to research published in JAMA Network Open.
VA looks to increase Oracle EHR deployments
Secretary Doug Collins told lawmakers last week the agency is hoping to roll out the software to 20 to 25 sites in fiscal year 2027, after largely halting new deployments in 2023.