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By EMMANUEL ANIMASHAUN The Centers for Medicare & Medicaid Services (CMS) Star Ratings system represents a cornerstone of quality assessment in Medicare Advantage (MA), designed to empower consumers with transparent information while rewarding plans that deliver superior care. Yet recent developments, particularly the seismic downgrading of Humanas ratings reveal an unintended consequence: a system created to measure and incentivize quality may now be actively undermining it.
Moving to a new country can be exhilarating, and one of the biggest challenges most face upon relocating to the United States is the language barrier. If one does not speak the language, finding a job, communicating with others in the neighborhood, and understanding basic signs and directions can be quite an ordeal. What is an ESL Program? ESL classes are designed to teach English to students whose first language is not English.
In a recent survey carried out amongst Managers in the IGPM Member WhatsApp groups and via Practice Index, an astonishing 80% reported that their reception teams suffered abuse on the telephone every single day, with the majority reporting this happened numerous times a day. The IGPM has launched a new public campaign, ideal for practice waiting rooms and across social media to show how the calls the reception team takes daily can impact their mental health and wellbeing.
The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.
The executive order on lowering drug prices to those of a most favored nation leaves out details on its implementation and sidesteps logistical and legal hurdles.
In 2025, US businesses face unprecedented challenges finding affordable, quality tech talent. The solution? Look to India, where an elite ecosystem of developers delivers world-class results at a fraction of domestic costs. The Indisputable Case: Why India is the Premier Destination for Software Development Outsourcing The global outsourcing landscape offers numerous options for businesses seeking to optimize their software development.
I have a great (and sad) story to tell today. It’s about hubris and the need for proper control arms in device trials. The reason control arms popped in my head was an unusually candid editorial in JAMA regarding the management of tricuspid regurgitation. The authors criticize the evidence base underpinning the new push to intervene on the tricuspid valve.
Imagine if every physician had a virtual clinical partner as knowledgeable and reliable as they are. With AGI, that day may be closer than most people expect.
When you think of a nurse, you probably picture scrubs, stethoscopes, and a buzzing hospital floor. But Keith Carlson? He’s rewriting the script. “My name is Keith Carlson ,” he says, “and I have an unusual nursing career at this point in time.” Unusual might be putting it lightly. Carlson is a travel medicine specialist, nurse entrepreneur, career coach , freelance writer, popular podcast host with over 500 episodes, and occasional keynote speaker.
The House Energy and Commerce Committee is backing more moderate reforms to Medicaid. But Republicans’ policy proposals would still result in millions of Americans losing health insurance.
The Neurological Institute of Savannah & Center for Spine and East Central Missouri Behavioral Health Services have started notifying individuals about hacking incidents and data breaches that occurred last year. The Neurological Institute of Savannah & Center for Spine The Neurological Institute of Savannah & Center for Spine (NeuroSav) in Georgia has announced a data breach from last summer.
The proposal would see the HHS set price targets other countries pay for certain medicines, kicking off a round of discussions with substantial ramifications for drugmakers. It’s likely to be challenged in court, however.
The Texas Health and Human Services Commission (HHSC) has been affected by an insider breach at one of its business associates, Maximus US Services. The unauthorized access was discovered by the Texas HHSC while investigating its own insider data breach. In January 2025, the Texas HHSC announced that several employees had accessed the protected health information of approximately 61,104 individuals without authorization over the previous three and a half years.
Omada, which offers chronic condition management programs, is following in the footsteps of Hinge Health to become the latest digital health firm to brave the public markets in recent months.
Jennifer Wiggins, CEO of Aegis Malpractice Solutions, walks us through why it is important for practice managers to stay abreast of malpractice trends.
The California Labor for Climate Justice (CLCJ), a coalition of 16 labor unions, is urging lawmakers in the state to strengthen Cal/OSHA to better protect workers from climate-related hazards in the workplace, protect workers from climate-related economic disruptions, and increase enforcement of Cal/OSHA compliance. OSHA compliance is required to protect workers across the United States by creating a safe working environment, although some states have adopted their own safety and health standard
Background checks for healthcare employees are an important safeguard in environments in which the well-being of patients and the integrity of the care are paramount. Pre-employment screening for healthcare workers – and frequent re-screening thereafter – can also help mitigate the risk of fraud and theft for healthcare organizations. All healthcare providers are required to conduct background checks for healthcare employees.
News that Rite Aid is sell off its assets amid a bankruptcy doesnt mean shuttered brick-and-mortar stores will re-open under a CVS Health or Walgreens banner.
By LINDA RIDDELL & THOMAS WILSON Recent discussions over Medicaid budget cuts invite us to look more deeply into the house-of-cards that, when it collapses, will hit the states and low-income households hardest. But we will all be harmed. Some states get 80% of their Medicaid funding from the federal government, as a recent Wall Street Journal article, Medicaid Insures Millions of Americans.
Riley's partnership with Mira supports her advocacy work to create more information, transparency, and autonomy for women athletes, and women alike about their bodies.
AIdriven preventive care empowers primary care physicians to curb soaring health care costs and improve outcomes for the 194million U.S. adults living with chronic conditions.
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