Tag Archives: data

OIG says $2.6B paid out under MA risk adjustment with scant encounter data

Dive Brief: Medicare Advantage health plans billed the federal government $ 2.6 billion in 2016 for more than 617,000 patients whose risk-adjusted medical conditions were diagnosed without their physician present, a new report from the HHS Office of the Inspector General concludes. Further, the OIG report showed that 80% of those health risk assessments were… Read More »

After positive early data, Pfizer, BioNTech CEOs sound off on coronavirus vaccine timelines

On the heels of early positive COVID-19 vaccine data, the CEOs at BioNTech and Pfizer are gearing up for a late-stage trial and talking up potential approvals later this year.  In separate interviews this week, Pfizer CEO Albert Bourla and BioNTech CEO Ugur Sahin said their mRNA vaccine candidate could be ready to submit to regulators in the fall or winter, respectively, pending success in… Read More »

VA apps pose privacy risk to veterans’ healthcare data

The increasing use of apps provided by the Department of Veterans Affairs is meant to improve access to patient health and benefits information in convenient digital platforms. However, members of Congress are worried that this electronic data is vulnerable. “When a veteran downloads an app from the VA’s app store, how much personal information does… Read More »

How to read between the lines of the healthcare data blocking debate

About a year ago, the Department of Health and Human Services first proposed rules to promote sharing and the interoperability of health data to enable patients to electronically access their health information. Many of the top industry players submitted commentary to The Office of the National Coordinator for Health Information Technology and the Centers for… Read More »