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Aetna pushes back against reports that medical directors do not review patient records

February 16, 2018


Aetna in a statement says its "medical directors review all necessary available medical information for cases that they are asked to evaluate," and a former medical director for the insurer says "certain misinterpretations" had arisen from his prior testimony on the insurers prior-authorizations practices.

Amazon wants to deliver medical supplies. Here's how it's getting started.

February 14, 2018


Amazon is looking to expand its medical supplies business and offer health systems a new, simplified purchasing model—but first, the company is meeting with hospital executives to convince them to try out the new system.

Recently-enacted CHRONIC Care Act will improve access to telemedicine, experts say

February 14, 2018


The Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act of 2017, which was included in Congress' recently enacted spending package, revises Medicare payment policies to expand telemedicine coverage for beneficiaries with chronic conditions, as well as those presenting with stroke symptoms.

Under new law, PAs can manage hospice care for Medicare beneficiaries beginning in 2019

February 13, 2018


The American Association of Physician Assistants is praising a provision included in a two-year spending package recently signed into law that, beginning in 2019, will allow physician assistants (PAs) to provide and manage hospice care for certain Medicare beneficiaries, saying the change "will empower PAs to offer continuity of care at a time when patients and their families are most vulnerable."

Former Aetna medical director says he never reviewed patient records, prompting investigation

February 13, 2018


California is investigating Aetna, after one of the insurer's former medical directors said he did not personally review patients' medical records when deciding to approve or deny claims.

This 38-foot Care-A-Van serves 1000s of Bon Secours patients every year. Here's how.

February 12, 2018


Bon Secours Health System views it's so-called "Care-A-Van" as an embodiment of the health system's mission.

No-cost ridesharing does not lead to fewer patient no-shows, study finds

February 9, 2018


The study finds Medicaid beneficiaries who were offered a no-cost Lyft service were no less likely to miss primary care appointments than those who were not—though the researchers cite several study design limitations that might have affected the final results.

In the states: Alabama files suit against opioid maker; South Dakota lawmakers advance bill to raise tobacco purchasing age, and more

February 9, 2018


American Health Line rounds up the latest health care news in the states.

Trump admin weighing states' requests to implement Medicaid coverage limits

February 8, 2018


At least five states—Arizona, Kansas, Maine, Utah, and Wisconsin—are seeking CMS' permission to implement lifetime coverage limits for Medicaid.

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