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According to Modern Healthcare, Anthem “was paid more for providing benefits to sicker enrollees that are associated with needing more resources than healthier enrollees.” See how the giant was miscoding Advantage claims: https://zcu.io/xdE9

CMS overpaid Anthem $3.4M in Medicare Advantage, OIG says HHS' Office of Inspector General found CMS overpaid Anthem for Medicare Advantage enrollees who were risk adjusted to appear more ill than their medical records revealed.

As more Americans get the vaccine, providers need to manage admin fees for any care gaps not covered by insurance. Healthcare Finance News explains HHS’ new program addressing just that: https://zcu.io/mW0n

HHS launches new vaccine reimbursement program for providers This is to cover administration fees for the gap in costs not paid by insurers.

Low reimbursement rates have caused anesthesiologists to leave Michigan at an alarming rate, forcing hospitals to shut down operating rooms. More in Becker's Hospital Review: https://zcu.io/kxTC

Physician viewpoint: Low reimbursement is causing an anesthesiologist shortage in Michigan Minimal reimbursement rates are forcing anesthesiologists to leave Michigan at an alarming pace, according to Rick Ganzi, MD, an anesthesiologist in Holland, Mich.