Medicare and Medicaid

Attorney Everett Wilson, managing partner at Polsinelli's Miami office, discusses overall changes in Medicare and Medicare Advantage - and how the recent benefits changes affect consumers, payers and plans.

Donald Rucker, chief strategy officer at 1upHealth, discusses the details associated with CMS' Medicare Star Ratings, balancing the complexity and interest of patients and taxpayers, and what plans need to do to up their rating.

Jenn Kerfoot, chief strategy and growth officer at DUOS, discusses why only seven plans made five stars for Medicare Advantage Star Ratings, as opposed to 30 the previous year, and how plans can ensure a positive rating in the future.

Healthcare attorney and partner at Holland & Knight Zubin Khambatta discusses the CMS final rule related to Medicaid managed care and its provisions adding new compliance guardrails regarding state-directed payments.  

Ann Maxwell, deputy inspector general for evaluations at the U.S. Department of Health and Human Services Office of Inspector General, discusses the case for making the pandemic-related CMS telehealth expansion permanent.  

Jennifer Mathieu, senior vice president of professional and government affairs at AMCP, provides an update on the Access to Prescription Digital Therapeutics Act 2023 moving through Congress.

According to an audit by the Office of the Inspector General, Medicare improperly paid for $580 million of psychotherapy care, including $348 million of telehealth services, during the first year of the COVID-19 public health emergency.

Homeward's Amar Kendale, former chief product officer at Livongo and Teladoc, discusses how the industry must combine technology and new care models to improve access and make value-based payment successful.

Christopher Lis, managing director of global healthcare intelligence at J.D. Power, discusses the recent primary care deals by Amazon and CVS Health.

Ajayi discusses the challenges Medicaid and other underserved patients face when accessing the healthcare system and how the startup approaches expansion into new markets.