Distributed Healthcare Intelligence
The latest HHS rule targets information blocking practices in healthcare, imposing penalties for non-compliance. Healthcare providers face increased scrutiny, financial impact, and reputational risk. To comply, they must strengthen compliance…
What is the Justice-Involved Initiative? The Justice-Involved Initiative is a pioneering program under California’s Medicaid reforms, specifically designed to extend Medicaid coverage to incarcerated individuals. Historically, under the Medicaid Inmate…
Carriers set their actual prices by bidding against the capitation payment amounts. Carriers with plans that do well on Medicare Advantage program quality measures get a higher monthly capitation payment.