In an open letter, the American Hospital Association and American Medical Association, among others, are asking regulators to delay the rollout of the Ambulatory Specialty Model, a value-based reimbursement structure for patients with heart failure and lower back pain.
Expanded assessments of geriatric patients that include simple interventions like noise-cancelling headphones have seen success in the form of reduced inpatient admission rates.
A coalition of 26 states challenging the implementation of Medicaid work requirements finds some success, but they will largely go into effect on Jan. 1 as planned.
The documents were released by the Electronic Frontier Foundation, a nonprofit digital rights group looking into the pilot program. WISeR effectively adds prior authorizations to traditional Medicare in six states, something the EFF said has led to significant patient care delays.
The company posted a letter online addressed to AI-powered personal assistants, welcoming them onto its healthcare access platform—as long as they’re registered and play by the rules.
The Center for Healthcare Quality and Payment Reform believes many physicians participating in the new Ambulatory Specialty Model could end up experiencing a pay cut. In addition, it could drive some specialists to stop treating heart failure patients altogether.
Herbert Kimble, 60, was also ordered to pay nearly $400 million in restitution and forfeitures. The fraud, which involved sending kickbacks to telemedicine firms and billing Medicare for medical equipment, is one of the largest in history.
