News From Around the Web
> Capital BlueCross has tapped Scott Frank as its new chief information officer, the company announced. Frank previously served as Aetna/Coventry's executive director of IT. Announcement
> Chelsea Clinton, campaigning on behalf of Hillary Clinton, says Democratic presidential candidate Bernie Sanders is attempting to replace the Affordable Care Act with a single-payer system, The Hill reports. Article
> In a statement about President Barack Obama's State of the Union address, Enroll America says the commander-in-chief "made clear that the Affordable Care Act is working, and that the law is here to stay," adding, "as enrollment continues to rise and the uninsured rate continues to fall, every day it becomes more clear that the Affordable Care Act is one of the most significant expansions of health coverage in our country's history." Statement
AntiFraud News
> Big data and predictive analytics were supposed help Medicare prevent fraudulent payments the same way credit card companies deny suspicious charges. Fraud schemes still plague Medicare because the Centers for Medicare & Medicaid Services is too concerned about provider backlash to use the full force of claims data, according to an article published in Pacific Standard. Article
> The nation's largest rehab provider, which specializes in caring for skilled nursing facility residents, will pay $125 million to settle claims the company provided medically unnecessary therapy services, according to the Department of Justice. Article
And finally… "Heroes" among us. Article