An Interview with Dr. Steven Landers, Part 2
Advocacy by Kristin Rowan, Editor Medicare Advantage is Killing Us...Literally This is part 2 of 2 in the interview with Dr. Steven Landers. You can read part 1 here. Medicare Advantage article by Dr. Landers Earlier this week, Dr. Landers published an article in the NAHC...UnitedHealth Group Sees Q3 Growth
CMS by Kristin Rowan, Editor UnitedHealth Group Earnings Show Strong Q3 Revenue Growth For most of 2024, and even going back into 2023, The Rowan Report has written about UnitedHealth Group and its acquisitions, its over diagnosing patients for financial gain, its...Another One Bites the Dust
CMS by Kristin Rowan, Editor Essentia Drops Medicare Advantage Essentia Health is an integrated health system with locations in Minnesota, North Dakota and Wisconsin. The health system offers 285 different services across more than 1,700 locations. They employ more than...Medicare Advantage Predatory Marketing
CMS by Kristin Rowan, Editor Leading Associations Attempt to Curb Medicare Advantage Marketing Practices that Prey on the Unsuspecting For some time now, we’ve been reporting on the marketing practices that Medicare Advantage uses to lure new members. And,...NAHC NHPCO Town Hall
Advocacy by Kristin Rowan, Editor The Alliance On June 18, 2024, the National Association for Home Care & Hospice (NAHC) and the National Hospice and Palliative Care Organization (NHPCO) announced they had met in Washington D.C. to formally sign an affiliation agreement...MA Past, Present, and Possible Future: Nothing Good to Report
CMS by Tim Rowan, Editor Emeritus Past For at least the last five years, every Home Health conference this reporter has attended has featured at least one keynote speaker or expert panelist complaining about sparse and shrinking payments from Medicare Advantage plans. As...BREAKING NEWS: Warren, Cassidy React to Supreme Court Ruling
CMS by Kristin Rowan, Editor The Background Senators Warren and Cassidy react to the landmark decision by the Supreme Court in Loper Bright Enterprises v. Raimondo. That decision effectively overturned the Chevron Doctrine, which gave deference to federal agency decisions...Payer or Competitor?
Admin by Tim Rowan, Editor Emeritus UnitedHealth Making Home Health Visits Payer or Competitor…that is the question. According to a report in the Wall Street Journal, and questioned by the insurance industry’s lobbying arm, AHIP, UnitedHealth Group has increased...Poor Joe is Out of A Job
CMS by Tim Rowan, Editor Emeritus We have been keeping an eye on the Medicare Advantage business as the number of beneficiaries who switch exceeds fifty percent. In past reports, we have described the federal lawsuits that accuse MA insurance companies of illicitly...The Wrong Way to Use AI in Healthcare
Admin by Tim Rowan, Editor Emeritus Lawsuits are beginning to pile up against insurance companies participating in the Medicare Advantage program. The complaint? The wrong way to use AI in healthcare is with faulty algorithms to approve or deny claims. While AI can be...HOPE is on the Way: Part 3
CMS By Beth Noyce, RN, BSJMC, BCHH-C, COQS CHAP-certified home health & hospice consultant This is part 3 of the 3 in the series, outlining the discussions and implications in adopting new outcome and process measures for Hospice care. The final segment addresses...CMS News: New Rule Cracks Down on Medicare Advantage Upcoding
CMS by Tim Rowan, Editor CMS Rule to Protect Medicare The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services, finalized the policies for the Medicare Advantage “Risk Adjustment Data Validation” program, which...
