DOJ sues Cigna alleging Medicare Advantage fraud

DOJ sues Cigna alleging Medicare Advantage fraud

The Justice Department has sued Cigna for allegedly collecting tens of millions of dollars in excess Medicare payments by exaggerating its members’ illnesses.  The U.S. Attorney for the Southern District of New York sued Cigna on Friday in the U.S. District Court for the Middle District of Tennessee and alleges Cigna violated the False Claims Act by reporting its Medicare […]

LeadingAge 2022: Digital Transformation Is an Ongoing Process in Senior Care

LeadingAge 2022: Digital Transformation Is an Ongoing Process in Senior Care

Panelists at the LeadingAge Annual Meeting + EXPO discuss how senior care leaders can create successful digital transformation at their organizations. From left: Majd Alwan, Executive Director for the LeadingAge Center for Aging Services Technologies; Dusanka Delovska-Trajkova, CIO of Ingleside; Jim Michels, Vice President of Development and Strategic Operations at the Army Distaff Foundation and Knollwood; and Peter Kress, Senior […]

Why One Home-Based Care Veteran Sees Home Modification As A Major Growth Area

Why One Home-Based Care Veteran Sees Home Modification As A Major Growth Area

TruBlue Total House Care recently welcomed Carrie Coumbs as the company’s new senior strategic advisor. Cincinnati, Ohio-based TruBlue is a senior-focused home repair company that operates under a franchising business model. TruBlue specializes in house care, home maintenance and safety modifications. Coumbs is a senior care veteran with 20 years of aging services experience under her belt — serving as […]

NGM Bio’s Merck-partnered drug for vision loss disorder flunks Phase 2 test – MedCity News

NGM Bio’s Merck-partnered drug for vision loss disorder flunks Phase 2 test – MedCity News

NGM Biosciences’ experimental geographic atrophy therapy failed a mid-stage test, making it less likely that drug partner Merck will exercise its option on the antibody. Meanwhile, an Apellis Pharmaceuticals drug for the same disorder is expected to receive an FDA decision by late November. After NGM Biopharmaceuticals’ most advanced internal program flunked a mid-stage study last year, the biotech said […]

House Democrats move to reaffirm FDA authority on abortion pill access

House Democrats move to reaffirm FDA authority on abortion pill access

House Democrats on Monday introduced a resolution to reaffirm the Food and Drug Administration’s (FDA) authority to preempt state law and ensure patients continue to have access to reproductive health care products. The resolution from Reps. Diana DeGette (D-Colo.) and Mondaire Jones (D-N.Y.) reaffirms the FDA’s authority to prevent states from enacting regulations that limit or prohibit patients from accessing […]

How to Make Sense of This Fall’s Messy COVID Data

How to Make Sense of This Fall’s Messy COVID Data

It is a truth universally acknowledged among health experts that official COVID-19 data are a mess right now. Since the Omicron surge last winter, case counts from public-health agencies have become less reliable. PCR tests have become harder to access and at-home tests are typically not counted. Official case numbers now represent “the tip of the iceberg” of actual infections, […]

Falling MA star ratings dog payers’ future earnings

Listen to the article 5 min This audio is auto-generated. Please let us know if you have feedback. Falling Medicare Advantage star ratings are pressuring payers’ future earnings, as some of the biggest U.S. health insurers are poised to lose out on valuable Medicare revenue from bonuses tied to the stars in 2024. Volatility in MA stars for the 2023 […]

‘The consumer is looking for a guide’: 2 companies partner to offer OTC hearing aid counsel – MedCity News

‘The consumer is looking for a guide’: 2 companies partner to offer OTC hearing aid counsel – MedCity News

With over-the-counter hearing aids hitting the market Monday, a new partnership is helping guide consumers to the right products. The August decision by the Food and Drug Administration to allow over-the-counter hearing aids for those 18 years and older was applauded by audiologists as a way to expand access to hearing care. But many professionals still recommend getting evaluated by […]