{"id":20875,"date":"2023-02-06T09:00:29","date_gmt":"2023-02-06T09:00:29","guid":{"rendered":"https:\/\/imatsolutions.com\/?p=20875"},"modified":"2023-02-02T19:02:28","modified_gmt":"2023-02-02T19:02:28","slug":"health-data-news-roundup-136","status":"publish","type":"post","link":"https:\/\/imatsolutions.com\/index.php\/2023\/02\/health-data-news-roundup-136\/","title":{"rendered":"Health Data News Roundup: Medicare Advantage Audit Ruling; Lack of Encounter Data for MA Supplemental Benefits; and Cigna Reduced Care Costs"},"content":{"rendered":"

Welcome to the Health Data Weekly News Roundup from IMAT Solutions. As the power of data continues to grow in the healthcare arena, today\u2019s care organizations need to be on the forefront of all news and trends to help ensure that their data analytics efforts deliver accountable and informed care. Each week, we will provide you with the actionable news you need to meet these goals. <\/em><\/p>\n

New Medicare Rule Aims to Take Back $4.7 Billion From Insurers<\/strong><\/a>
\nThe Biden administration is cracking down<\/a> on Medicare private plans that have overcharged the federal government. The rule calls for a more aggressive approach to how plans are audited in the Medicare Advantage program.<\/p>\n

7 Reactions to CMS’ Medicare Advantage Audit Ruling<\/strong><\/a>
\nOrganizations representing payers say tougher auditing standards CMS will impose on Medicare Advantage plans could create higher premiums and fail to target fraud. Others say the new rule, which eliminates the fee-for-service adjuster, doesn’t go far enough, according to this Becker\u2019s Payer Issues<\/em><\/a> article. <\/p>\n

GAO: CMS Lacks Encounter Data for MA Supplemental Benefits<\/strong><\/a>
\nNearly all Medicare Advantage plans offered supplemental benefits in 2022, but CMS received<\/a> limited encounter data from the plans, a report from the Government Accountability Office (GAO) found.<\/p>\n

CMS Announces ACA Special Enrollment Period during PHE Unwinding<\/strong><\/a>
\nCMS announced<\/a> that there will be a special enrollment period on the Affordable Care Act marketplace for individuals who lose their Medicaid coverage due to the public health emergency unwinding.<\/p>\n

Cigna\u2019s Integrated Health Plan Reduced Care Costs for Employers<\/strong><\/a>
\nEmployers saved more than $1,400 per member per year when employees enrolled in Cigna\u2019s integrated health plan that coordinates medical, pharmacy, and behavioral benefits, according to<\/a> a study from the payer.<\/p>\n

House Lawmakers Introduce Bills to Amend VA EHR Modernization Program<\/strong><\/a>
\nRep. Mike Bost, R-Ill., House Committee on Veterans\u2019 Affairs chair, recently introduced<\/a> legislation to significantly amend or scrap the Department of Veterans Affairs (VA) EHR modernization program completely.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Welcome to the Health Data Weekly News Roundup from IMAT Solutions. As the power of data continues to grow in the healthcare arena, today\u2019s care organizations need to be on the forefront of all news and trends to help ensure that their data analytics efforts deliver accountable and informed care. Each week, we will provide you with the actionable news you need to meet these goals. New Medicare Rule Aims to Take Back $4.7 Billion…<\/p>\n","protected":false},"author":8,"featured_media":20877,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[221],"tags":[],"acf":[],"_links":{"self":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/20875"}],"collection":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/comments?post=20875"}],"version-history":[{"count":1,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/20875\/revisions"}],"predecessor-version":[{"id":20876,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/posts\/20875\/revisions\/20876"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media\/20877"}],"wp:attachment":[{"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/media?parent=20875"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/categories?post=20875"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/imatsolutions.com\/index.php\/wp-json\/wp\/v2\/tags?post=20875"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}