Health care cyber attacks have been an ever-present threat for providers, including nursing homes. But the most recent attacks on Change Healthcare have had ripple effects on the industry, prompting lobbying groups and federal agencies to action. The attack in February has affected cash flow and claims processes for some nursing home operators, associations said, […]
In facing a class-action lawsuit for its use of artificial intelligence in denying claims for services to residents in post-acute care, Humana (NYSE: HUM) joins the ranks of other health insurance behemoths such United Healthcare and Cigna. The complaint, filed late Tuesday, in a federal court in Kentucky, accuses Humana of using AI tools – […]
Optum, the diversified care delivery arm of UnitedHealth Group (NYSE: UNH), has reached an agreement to acquire home health giant Amedisys (Nasdaq: AMED), which provides skilled nursing facility-at-home services via Contessa Health. Optum emerged as a suitor for Amedisys earlier this month, after the home health giant had previously announced a deal to combine with […]
Nursing homes are past the “nightmare” caused by Covid-19, but now are facing “a real business problem” that could be considerably worsened by the coming federal staffing mandate. That’s according to Mark Parkinson, CEO and president of the American Health Care Association/National Center for Assisted Living (AHCA/NCAL). He spoke Tuesday of the urgent need to […]
Over-reliance on artificial intelligence is compromising post-acute care for nursing home residents on Medicare Advantage plans. This view of the problematic use of algorithms for prior authorizations – and denial based on incorrect assessment of patient needs – is at the center of reporting and analysis published in the health, medicine and life sciences publication, […]
Skilled nursing and post-acute companies — and other providers serving older adults — must raise their games to deliver services within a new health care paradigm, as payers and consumers alike demand a more integrated continuum. In particular, post-acute and senior care companies must “be the answer” as large insurance companies seek ways to more […]
Optum, the health services arm of UnitedHealth Group (NYSE: UNH), has agreed to buy home health giant LHC Group (Nasdaq: LHCG) for a reported $5.4 billion. The blockbuster deal is the latest indication that the nation’s largest health care payers are driving a shift toward value-based care models that prioritize more services delivered in people’s […]
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