Policies & Regulations

How Does Massachusetts' Shield Act 2.0 Protect Health Data?
Management & Administration How Does Massachusetts' Shield Act 2.0 Protect Health Data?

In an era where personal health information is increasingly vulnerable to external legal pressures, Massachusetts has taken a bold step to safeguard sensitive data with the enactment of a groundbreaking piece of legislation. Signed into law by Governor Maura Healey on August 7, this updated statute

Why Is CVS Denying Coverage for a Breakthrough HIV Drug?
Management & Administration Why Is CVS Denying Coverage for a Breakthrough HIV Drug?

In a landscape where medical innovation holds the promise of transforming lives, a troubling barrier has emerged in the fight against HIV, as a groundbreaking twice-yearly injectable drug, recently approved by the FDA, offers a new horizon for pre-exposure prophylaxis (PrEP). This drug potentially

Post-Acute Nursing Directors Key to Value-Based Care Success
Management & Administration Post-Acute Nursing Directors Key to Value-Based Care Success

In the rapidly evolving healthcare landscape, the transition to value-based care (VBC) has placed unprecedented pressure on health plans to deliver high-quality outcomes while curbing costs, especially in the realm of post-acute care (PAC). PAC, which encompasses recovery services provided in

SCAN Group Exposes Medicare Advantage Flaws in Bold Campaign
Management & Administration SCAN Group Exposes Medicare Advantage Flaws in Bold Campaign

In a striking move that challenges the status quo of health insurance marketing, a prominent not-for-profit organization in the Medicare Advantage (MA) space has unveiled a national campaign that dares to call out the deep-seated issues plaguing the industry. Titled with a provocative message, this

Why Did Elevance Lose Its Medicare Star Ratings Lawsuit?
Management & Administration Why Did Elevance Lose Its Medicare Star Ratings Lawsuit?

In a striking development that has sent ripples through the healthcare industry, Elevance Health, a prominent name in the Medicare Advantage (MA) market, recently faced a significant legal setback in a federal court in Texas. The case, decided on August 19 of this year, revolved around the star

Hospital Pricing Disparities: Solutions to Curb High Costs
Management & Administration Hospital Pricing Disparities: Solutions to Curb High Costs

Imagine stepping into a hospital for a standard procedure, expecting a reasonable bill, only to discover that the cost for the same service can vary by tens of thousands of dollars depending on the facility, even within the same city. This stark reality of pricing disparities in the U.S. healthcare

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