September 30, 2021
JESSIE HELLMANN
The Biden administration on Thursday laid out the process that out-of-network providers and plans can use to settle surprise billing disputes.
Category: News
Twenty Medicare Advantage insurers racked up half of $9.2 billion in undiagnosed payments
September 22, 2021 NONA TEPPER Twenty Medicare Advantage insurers accounted for more than half of the $9.2 billion the federal government paid for care that beneficiaries may not have needed or received in 2016, according to a Wednesday report by federal investigators. Among these 20 companies, one large insurer stood out for the share […]
Blue Cross antitrust legal woes linger as settlement opt-outs seek damages
September 29, 2021 NONA TEPPER More than 30 people who opted out of Blue Cross Blue Shield’s $2.67 billion antitrust settlement sued the health plan’s national association on Monday, alleging the insurers’ monopolistic activities increased healthcare costs while decreasing quality of care. The suit, filed in the U.S. District Court of the Southern District of […]
Arizona AG files first suit against Biden vaccine rules
September 14, 2021 Associated Press PHOENIX (AP) — Arizona Attorney General Mark Brnovich filed the first lawsuit Tuesday to block President Joe Biden’s new vaccine requirements that could affect 100 million workers. Brnovich, who is running in a crowded Republican primary for U.S. Senate, claims Biden is illegally treating U.S. citizens and legal immigrants […]
Insurers have stopped waiving costs for preventable COVID-19 care
August 24, 2021 MARI DEVEREAUX
Most private insurers are no longer waiving cost sharing for COVID-19 treatment due to the widespread availability of vaccines rendering the illness largely preventable.
Molina wins four-year Nevada Medicaid contract
August 17, 2021 MICHAEL BRADY
Nevada awarded Molina Healthcare a Medicaid managed care contract, the company announced Tuesday.
Providers face increased legal risk as FDA ends emergency use
August 09, 2021 MICHAEL BRADY
Providers face growing legal risk as the Food and Drug Administration winds down emergency actions related to the novel coronavirus pandemic.
HHS and DOJ Issue Guidance on “Long COVID” and Disability Rights Under the ADA, Section 504, and Section 1557
July 26, 2021
The guidance provides clarity on how disability nondiscrimination laws apply to certain people affected by COVID-19
American Hospital Association supports COVID-19 vaccine mandates
July 21, 2021 ALEX KACIK
The American Hospital Association supports hospitals and health systems that require their workers to get the COVID-19 vaccine, the group announced Wednesday.
Medicare telehealth access preserved in physician pay rule—for now
July 13, 2021 MICHAEL BRADY
CMS wants to make it easier for Medicare beneficiaries to use telehealth services, improve its diabetes prevention program and overhaul its Quality Payment Program, according to the proposed 2022 Medicare physician fee schedule released on Tuesday.