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8+ hour, 6+ min ago  (142+ words) Health insurance companies rejected almost 1 in 5 in-network claims for plans purchased on the federal exchange in 2024, with a denial rate of 19%. " LISTEN TO ORLANDO'S MORNING NEWS EXPRESS PODCAST ON WDBO A new report from the Kaiser Family Foundation analyzed 2024 data…...

1+ hour, 38+ min ago  (243+ words) Processing health insurance claims traditionally involves navigating a maze of highly varied, unstructured documents. CoverGo's IDP AI Agent tackles this operational bottleneck by automatically processing these files and transforming them into structured, decision-ready data in real time. The system is…...

8+ hour, 31+ min ago  (1250+ words) Trump's One Big Beautiful Bill Act Darkens Outlook for Government-Backed Clinics 5.6 million patients of community health centers could lose Medicaid coverage over the next decade as most states enact work requirements. April 3, 2026 " By Phil Galewitz and KFF Health News Bluestem…...

7+ hour, 54+ min ago  (289+ words) Mirra Health's location on Cortez Boulevard in Brooksville. TALLAHASSEE " State regulators on March 23 ordered the suspension of a Brooksville health administrator for outsourcing claims handling on more than 23,000 Floridians to India and the Philippines. Mirra Health Care LLC's business actions…...

2+ hour, 42+ min ago  (274+ words) Concerns with the insurance market's unpredictability prompted the Delaware Alliance for Nonprofit Advancement to launch Care for Good for nonprofits with 10 or more members. DANA President and CEO Sheila Bravo said the program is a collaboration between Congresswoman Sarah McBride,…...

2+ hour, 17+ min ago  (48+ words) The biggest fraud scandal may have happened under Gavin Newsom's watch: Chris Rufo'Fox News The biggest fraud scandal may have happened under Gavin Newsom's watch: Chris Rufo Manhattan Institute senior fellow Chris Rufo unpacks billions dollars worth of alleged fraud…...

1+ hour, 49+ min ago  (599+ words) At the center of this issue is a simple but uncomfortable truth: money. Insurance companies and healthcare providers must negotiate contracts that determine how much doctors get paid. When they can't agree, often due to lower reimbursement rates, providers may…...

3+ week, 5+ day ago  (169+ words) Have you ever been surprised by a Medicare IRMAA surcharge? What strategies have helped you stay below the thresholds? Share your experience in the comments! The Overlooked Link Between Social Security COLA and Medicare IRMAA Brackets 8 Ways to Prove "Life-Changing…...

3+ week, 4+ day ago  (458+ words) One of the most common Medicare appeal reasons is when Medicare denies a treatment, test, or procedure your doctor believes you need. Doctors often provide clinical notes that support why the service is necessary, and these notes can strengthen your…...

4+ hour, 13+ min ago  (225+ words) State insurance department and OSHIIP program offer free online session for new Medicare enrollees. Apr. 3, 2026 at 10:58pm The Ohio Department of Insurance and its Ohio Senior Health Insurance Information Program (OSHIIP) are hosting a free virtual event on April 8 to educate…...