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HIMSS23: DHA is developing a virtual-first health ecosystem

Healthcare It News

This summer, the agency will pick three facilities – hospitals or clinics – and go after that fundamental shift with technologies and processes that drive virtual-first care. DHA also manages the TRICARE network, which provides civilian health benefits under military care to 9.6 million beneficiaries worldwide.

Tricare 347
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Humana, Elara Caring, Frontpoint Health Share Best Practices For MA-Home Health Relationships

Home Health Care

Humana is an organization made up of a traditional insurance side – which includes TRICARE, MA and Medicaid – and the CenterWell side, which includes home-based care, pharmacy and primary care services. Providers going after MA business At Frontpoint Health, the goal is to go after MA business, almost exclusively.

Tricare 83
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NASHP Model Act to Limit Out-of-Network Provider Rates

NASHP

This model legislation limits out-of-network rates for inpatient and outpatient hospital services to the lesser of (a) the state’s median in-network commercial rate for the same service; or (b) [X]% of the Medicare rate for the same service in the same geographic area. NASHP Model Act to Limit Out-of-Network Provider Rates.

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What is better: public or private provision of health care?

Healthcare ECONOMIST

Care is split roughly equally between the two sources; 49 percent of outpatient encounters and more than 67 percent of hospitalizations for MHS beneficiaries take place with private providers. However, private provision (off-base) do have higher rates of C-sections, longer length of stay, and more diagnostics.

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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. White had Optetrak implants inserted into both her knees at a Galesburg, Illinois, hospital in June 2012.

Doctors 145
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Sick Profit: Investigating Private Equity’s Stealthy Takeover of Health Care Across Cities and Specialties

KHN

Private equity-backed groups have even set up special “obstetric emergency departments” at some hospitals, which can charge expectant mothers hundreds of dollars extra for routine perinatal care. White had Optetrak implants inserted into both her knees at a Galesburg, Illinois, hospital in June 2012.

Doctors 52
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Exposing Healthcare Fraud with Jonathan Tycko| E. 68

Vie Healthcare

He also urges hospitals to focus on mission over money and explains why compliance isn’t the enemy of healthcare. And as you know, obviously a huge percentage of healthcare spending is funded through Medicare, Medicaid, Tricare, the VA system, and these are all programs that are covered by the False Claims Act.