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U.S. to rein in algorithms for Medicare Advantage coverage decisions

U.S. to rein in algorithms for Medicare Advantage coverage decisions

Judith Sullivan was recovering from major surgery at a Connecticut nursing home in March when she got surprising news from her Medicare Advantage plan: It would no longer pay for her care because she was well enough to go home.

At the time, she could not walk more than a few feet, even with assistance — let alone manage the stairs to her front door, she said, and she still needed help using a colostomy bag after her operation.

“How could they make a decision like that without ever coming and seeing me?” said Sullivan, 76. “I still couldn’t walk without one physical therapist behind me and another next to me. Were they all coming home with me?”

UnitedHealthcare — the nation’s largest health insurance company, which provides Sullivan’s Medicare Advantage plan — doesn’t have a crystal ball. It does have NaviHealth, a care management

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Does Technology Win Wars? The U.S. Military Needs Low-Cost Innovation—Not Big-Ticket Boondoggles

Does Technology Win Wars? The U.S. Military Needs Low-Cost Innovation—Not Big-Ticket Boondoggles

It is ironic that, despite two decades of U.S.-led conflict in Afghanistan and Iraq, it took just a few months of Russia’s war in Ukraine to finally draw attention to the depleted state of U.S. weapons stocks and the vulnerabilities in U.S. military supply chains. In recent months, American military leaders have expressed increasing frustration with the defense industrial base. As the U.S. Navy’s top officer, Admiral Mike Gilday, told Defense News in January, “Not only am I trying to fill magazines with weapons, but I’m trying to put U.S. production lines at their maximum level right now and to try and maintain that set of headlights in subsequent budgets so that we continue to produce those weapons.” The fighting in Ukraine, Gilday noted, has made it clear to military leaders “that the expenditure of those high-end weapons in conflict could be higher than we estimated.”

Tellingly, just 100 days

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