June 29, 2022
Fred Schulte, Kaiser Health News
Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday.
June 21, 2022
An employer health plan didn’t violate federal law by limiting outpatient dialysis benefits for policyholders, the Supreme Court ruled Tuesday.
June 15, 2022
The Health and Human Services Department does not have the discretion to change 340B reimbursement rates without gathering data on what hospitals pay for outpatient drugs, the Supreme Court ruled Wednesday.
June 07, 2022
The Federal Trade Commission will intensify its scrutiny of pharmacy benefit manager business practices, the agency announced Tuesday.
June 07, 2022
Two million people who sought care at more than 50 Shields Health Care Group partners across the New England region may have had their personal data exposed after the company’s network server was breached in March.
May 20, 2022
The American Hospital Association on Thursday urged the Justice Department to conduct more False Claims Act investigations of Medicare Advantage insurers for denying patients access to services and payments to providers.
May 17, 2022
Despite the risks posed by COVID-19, hospitals continued to perform eight common, low-value procedures during the first year of the pandemic at a rate similar to 2019, according to a Lown Institute analysis published Tuesday.
May 03, 2022
Striking down Roe v. Wade would disrupt healthcare providers’ operations and increase their legal liability, lawyers and policy experts said.
April 28, 2022
Mari Devereaux & Maya Goldman
Medicare Advantage insurers could soon see more oversight of prior authorization practices.
April 20, 2022
The portal to file surprise billing independent dispute resolution claims opened on Friday, but there’s a chance the process through which claims are resolved could shift in the coming months.