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Latest News & Web Pages
Medicare takes another swing at 340 B cuts to hospitals
1+ hour, 17+ min ago (166+ words) Medicare wants to slash payments to hospitals for drugs acquired through the 340 B drug discount program by more than a third beginning next year, after the agency said its surveys found some patients paid more for the drugs than the…...
Elevance Health sues over Medicare Advantage star ratings
1+ hour, 13+ min ago (37+ words) Modern Healthcare News Elevance Health sues over Medicare Advantage star ratings The Centers for Medicare and Medicaid Services plans to recalculate 2026 Medicare Advantage star ratings for all insurers....
New Jersey is set to charge companies with workers on Medicaid. Other states may follow
9+ hour, 17+ min ago (810+ words) New Jersey is launching a new fee on companies whose workers have Medicaid health coverage instead of being covered by their employers. Other states are considering it, too. Democratic lawmakers and governors see it as a way to help pay…...
Trump administration proposes a rule it says could save Medicare patients $1. 1 billion on drugs
8+ hour, 9+ min ago (380+ words) The rule would apply to hospitals that serve low-income patients under what is known as the 340 B program, which lets hospitals buy outpatient prescription drugs at discounted prices. But in many cases, hospitals can bill insurers at rates that exceed…...
Fraud claims clash with rising Obamacare costs - AOL
12+ hour, 36+ min ago (148+ words) Fraud claims clash with rising Obamacare costs AOL. com Report: Fraud crackdown behind 3 M fewer enrolled in Obamacare, others see the result of soaring costs Kid Rock reveals bizarre details about his drunk phone calls with Donald Trump Lindsay Lohan…...
Elevance sues CMS after Medicare Advantage stars recalculation
1+ hour, 6+ min ago (434+ words) Regulators recalculated plans" quality scores last month after losing a lawsuit to Clover Health. But they used a different methodology for Clover than its peers, spurring Elevance"s lawsuit. Insurers have never been shy about contesting their MA stars, given…...
Humana Statement on our Contract with The Ohio State University
2+ hour, 43+ min ago (365+ words) LOUISVILLE, Ky. (July 2, 2026) " The Ohio State University Wexner Medical Center, The James Cancer Center, and OSU affiliated physicians will be out-of-network for Humana members, beginning October 1, 2026. Affected Humana Medicare Advantage and Humana Healthy Horizons Medicaid members have been notified of…...
Healthcare Stocks Surge Following CMS Payment Rate Proposal
3+ hour, 1+ min ago (720+ words) Intellectia AI Healthcare Stocks Surge Following CMS Payment Rate Proposal - Healthcare Stocks Surge: Following the CMS proposal to increase payment rates by 2. 4% for hospitals and ambulatory surgical centers, shares of Universal Health Services rose 7% and HCA Healthcare increased by 5%, reflecting…...
What to do when medical bills start piling up
2+ hour, 20+ min ago (480+ words) I'm 63 and recently had a hospital stay that left me with bills I can't afford to pay. I had Affordable Care Act health insurance, but after my premiums went up in January, I had to drop my coverage. Now I'm…...
Avoid reimbursement claims to reduce stress during hospitalisation
17+ hour, 9+ min ago (101+ words) Business Standard Avoid reimbursement claims to reduce stress during hospitalisation Check the hospital's network status before admission and complete pre-authorisation on time Why cashless works better When reimbursement becomes necessary Why insurers deny cashless claims Do not skip cashless for…...