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News You Need to Know Today
CMS drops lawsuit against UnitedHealth | 'Uterus collector' sues for $30M | MGMA interview on switch to value-based care
Monday, January 27, 2025
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Today's News and Trends

CMS drops lawsuit against UnitedHealth over Medicare Advantage star rating

The Centers for Medicare & Medicaid Services appealed a court ruling that ordered the agency to change the star rating for UnitedHealthcare's Medicare Part D plans, which had been reduced due to a disputed phone call. CMS has now dropped the appeal.

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Medicare Advantage Part C clipboard payment
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CMS drops lawsuit against UnitedHealth over Medicare Advantage star rating

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Medicare Advantage Part C clipboard payment
The Centers for Medicare & Medicaid Services appealed a court ruling that ordered the agency to change the star rating for UnitedHealthcare's Medicare Part D plans, which had been reduced due to a disputed phone call. CMS has now dropped the appeal.
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‘Uterus collector’ doctor sues news outlet in $30M defamation case

Mahendra Ami, MD, is seeking the judgement after MSNBC reported several times that he was performing unwanted hysterectomies on patients at a Georgia detention center. Ami said the outlet ignored evidence to the contrary and failed to verify that statements from a  whistleblower were true. 

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An Illinois appellate judge upheld a pervious trial victory that cleared and central Illinois cardiologist Amit Dande, MD, and Prairie Cardiovascular Consults LLP of alleged misdiagnosis of the severity of a patient's heart condition that led to his death prior to a schedule percutaneous coronary intervention (PCI).
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‘Uterus collector’ doctor sues news outlet in $30M defamation case

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An Illinois appellate judge upheld a pervious trial victory that cleared and central Illinois cardiologist Amit Dande, MD, and Prairie Cardiovascular Consults LLP of alleged misdiagnosis of the severity of a patient's heart condition that led to his death prior to a schedule percutaneous coronary intervention (PCI).
Mahendra Ami, MD, is seeking the judgement after MSNBC reported several times that he was performing unwanted hysterectomies on patients at a Georgia detention center. Ami said the outlet ignored evidence to the contrary and failed to verify that statements from a  whistleblower were true. 
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MGMA's perspective on CMS’s 2030 shift to value-based care

Anders Gilberg, Senior Vice of Government Affairs at Medical Group Management Association, explains the issues that will complicate moving Medicare from fee-for-service to value-based care models in five years. 

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value quality value-based care
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MGMA's perspective on CMS’s 2030 shift to value-based care

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value quality value-based care
Anders Gilberg, Senior Vice of Government Affairs at Medical Group Management Association, explains the issues that will complicate moving Medicare from fee-for-service to value-based care models in five years. 
READ MORE >

Featured Articles

UnitedHealthcare taps company veteran as next CEO

Tim Noel is taking the reins of the insurance giant in the aftermath of the murder of its previous CEO, Brian Thompson. Noel has been with the company since 2007. 

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UnitedHealth Group - 2
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UnitedHealthcare taps company veteran as next CEO

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UnitedHealth Group - 2
Tim Noel is taking the reins of the insurance giant in the aftermath of the murder of its previous CEO, Brian Thompson. Noel has been with the company since 2007. 
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Report: 84% of healthcare organizations identified a data breach last year

Phishing incidents were the most common type of attack on a healthcare entity, which is consistent with what's seen across all industries. 

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Phishing Hack Data Breach Password
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Report: 84% of healthcare organizations identified a data breach last year

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Phishing Hack Data Breach Password
Phishing incidents were the most common type of attack on a healthcare entity, which is consistent with what's seen across all industries. 
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Congress hesitates on long-term telemedicine expansion admid advocacy push

Congress temporarily extended telemedicine provisions until March amid lobby efforts by the Medical Group Management Association (MGMA) and others to make the provisions permanent.

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MGMA's Anders Gilberg calls on CMS and Congress to extend telemedicine and highlights the issues involved.
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Congress hesitates on long-term telemedicine expansion admid advocacy push

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MGMA's Anders Gilberg calls on CMS and Congress to extend telemedicine and highlights the issues involved.
Congress temporarily extended telemedicine provisions until March amid lobby efforts by the Medical Group Management Association (MGMA) and others to make the provisions permanent.
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In Case You Missed It

DOJ sues CVS over unlawful opioid prescriptions and reimbursement

The U.S. Department of Justice said policies at CVS Health forbade pharmacists from discussing patients and providers who may be prescribing opiates in violation of the Controlled Substance Act. 

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CVS Health announces $10.6B acquisition of Oak Street Health
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DOJ sues CVS over unlawful opioid prescriptions and reimbursement

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CVS Health announces $10.6B acquisition of Oak Street Health
The U.S. Department of Justice said policies at CVS Health forbade pharmacists from discussing patients and providers who may be prescribing opiates in violation of the Controlled Substance Act. 
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Data breach at chain of clinics impacts 450K patients

The Center for Vein Restoration has notified patients about a data breach that occurred in October, exposing financial and medical information on patients from across the U.S.

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Data breach at chain of clinics impacts 450K patients

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The Center for Vein Restoration has notified patients about a data breach that occurred in October, exposing financial and medical information on patients from across the U.S.
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In Other News

Nat’l Academy of Medicine sets ‘priorities for action’ as healthcare mulls next moves with AI

Given the precarious excitement of the moment—or is it exciting precarity?—policymakers and healthcare leaders must set directives guiding not only what to do with AI but also when to do it. 

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artificial intelligence AI healthcare
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Nat’l Academy of Medicine sets ‘priorities for action’ as healthcare mulls next moves with AI

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artificial intelligence AI healthcare
Given the precarious excitement of the moment—or is it exciting precarity?—policymakers and healthcare leaders must set directives guiding not only what to do with AI but also when to do it. 
READ MORE >

Deep learning model halves lung tumor segmentation times

In a new clinical study, the model was able to maintain its performance on scans completed on different types of CT equipment across multiple medical centers.  

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DL model identifies and segments lung tumors on CT scans.
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Deep learning model halves lung tumor segmentation times

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DL model identifies and segments lung tumors on CT scans.
In a new clinical study, the model was able to maintain its performance on scans completed on different types of CT equipment across multiple medical centers.  
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