Oct. 29 - Insurers must post negotiated rates starting in 2022 | ONC delays info blocking rules again
CMS requires government, most private plans to cover COVID-19 vaccines; Trump admin pushes back interoperability deadline for second time; Teladoc ups guidance for third quarter in a row as telehealth use holds steady; Aetna to pay $1M to settle 3 patient data HIPAA breaches
CMS Administrator Seema Verma fought back against claims the regulation will stifle competition. "Don't be fooled ... such complaints are all about protecting a considerable profit special interest reaped from business as usual," she said.
Commercial payers are likely already modeling costs. Anthem CEO Gail Boudreaux said Wednesday the insurer considered multiple variables when determining pricing and will follow CMS guidance.
The move was expected — rumors swirled for weeks amid public comments from top health IT officials and a proposed rule with a title hinting at deadline extension — but is a significant increase in the timeline for compliance.
Jefferies analyst David Windley called the results "robust overall but mixed in the details," calling membership growth underwhelming, and shares dipped.
The potential violations all occurred over a six-month period in 2017 and affected a total of more than 18,000 members, the HHS Office for Civil Rights said. The payer is not admiting liability.
The payer reported it spent $35 million on COVID-19 care in the quarter. But as cases reach new heights in the U.S., it expects members to again defer care as virus costs are likely to increase.
The EHR vendor's health system clients are especially warming up to its data tools that can help streamline their own workflows during the COVID-19 pandemic, President Don Trigg said during a Wednesday call with investors.
Officials warn that providers may have to make heart-wrenching decisions about who gets beds and equipment. "That is something that Americans don't fully understand," Bruce Siegel, CEO of America's Essential Hospitals, said.
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