Reporter for the Wall Street Journal covering health insurers and reimbursement policy. Reach me at [email protected]
Los Angeles
Joined May 2009
- Tweets1.8K
- Following1.4K
- Followers13K
- Likes2
A 3-year-old was woken minutes into a nap to get more autism therapy. Was it good treatment or “simple business math”? wsj.com/health/healthcare/au… via @WSJ
The Trump administration is proposing to hold steady the rates that Medicare pays health insurers, falling far short of what the companies and Wall Street were looking for wsj.com/health/healthcare/tr… via @WSJ
Insurers are facing a "crazy time" as costs rise and enrollment is set to shrink under the newly-passed Republican megabill. wsj.com/health/healthcare/mo… via @WSJ
Health insurers will pledge steps meant to smooth the preapproval process that can deny or delay access to care wsj.com/health/healthcare/he… via @WSJ
Grateful and honored that our team won the NIHCM Data-Driven Storytelling Award for our work on Medicare Advantage. #NIHCMAwardsJournalism nihcm.org/news/the-winners-o…
I was fortunate enough to be a judge for the Local Media award -- amazing work by a number of outlets. Highly recommend reading it all.
We are pleased to announce the finalists for the 31st Annual #NIHCMAwards in Journalism and Research! Join us as we congratulate these reporters and researchers. Learn more: bit.ly/43eM6zx
ALT Finalists Announced for the 31st NIHCM Awards in Journalism and Research; #NIHCMAwardsJournalism; #NIHCMAwardsResearch; NIHCM.org
Privately run Medicare Advantage plans will get a sizable payment bump from the federal government, thanks to a 5.06% increase announced by the Trump administration Monday wsj.com/health/healthcare/pr… via @WSJ
Insurers collected $50 billion extra from Medicare by making questionable diagnoses, often without the knowledge of patients or their doctors. wsj.com/health/healthcare/me… via @WSJ
Exclusive: Kaiser Permanente’s new Risant Health unit plans to acquire Cone Health, in a deal to build a network of nonprofit health systems across the U.S. wsj.com/business/deals/kaise… via @WSJ
Medicare will redo its quality ratings of privately run Medicare Advantage plans, a decision that could mean hundreds of millions of dollars in bonus payments to embattled health insurers wsj.com/health/healthcare/me… via @WSJ
To keep a lid on its $1.5 billion yearly healthcare spending, a union sought to exclude NewYork-Presbyterian hospitals from its health network. But the system wouldn’t walk away without a hefty sum. wsj.com/health/healthcare/ne… via @WSJ
A respected colleague, Marshall Allen, has tragically passed away. If you wish to support his family, there is a GoFundMe available here: gofund.me/af94994b
Anna Wilde Mathews retweeted
Local governments are under increasing pressure to be primary units of democracy, able to solve any problem, at any level.
But they lack the power, resources & legal authority for such broad governance.
So it's time to write new Magna Cartas.
noemamag.com/i-wrote-the-mag…
Hackers of UnitedHealth’s Change Healthcare broke in nine days before ransomware attack wsj.com/articles/change-heal… via @WSJ
Wall Street Journal reporter Evan Gershkovich has been deprived of 12 months of normal existence; a year of missed weddings, reporting trips and travels with friends wsj.com/world/russia/evan-ge… via @WSJ
Belated tweet, sorry! The Justice Department has launched an antitrust investigation into UnitedHealth Group, owner of the nation’s biggest health insurer wsj.com/health/healthcare/u-… via @WSJ
A new academic paper just posted, looking at Medicare Advantage risk adjustment. The authors examine how risk scores have gone up over time, naming specific plans. Their findings will no doubt add to the debate over this topic. See here: ssrn.com/abstract=4699928
Cigna is in advanced talks to sell its Medicare business in an about-face for the health-insurance giant, which had been expanding its footprint in the fast-growing sector wsj.com/health/healthcare/ci… via @WSJ
CVS Health says it is moving away from the complex formulas that determine the prices of the prescription drugs it sells, a move that could upend how pharmacies are paid wsj.com/health/healthcare/pr… via @WSJ
Cigna and Humana are in talks for a combination that would create a new powerhouse in the health-insurance industry wsj.com/business/deals/cigna… via @WSJ
