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39+ min ago (248+ words) On November 21, the Centers for Medicare & Medicaid Services (CMS) issued a final rule announcing changes for Medicare payments for hospital outpatient services under the Hospital Outpatient Prospective Payment System (HOPPS). Among other things, the HOPPS final rule finalizes CMS" plan to conduct a survey of the acquisition costs for each separately payable drug purchased by all hospitals reimbursed under HOPPS, adjust certain payment rates, and cease Medicare Part B reimbursement for drugs sold by manufacturers without Medicaid National Drug Rebate Agreements (NDRAs). In addition to the updates discussed below, CMS has finalized the following for 2026: Section 1833(t)(14)(D)(ii) of the Social Security Act requires CMS to conduct periodic surveys of hospital acquisition costs for each specified covered outpatient drug (SCOD) for use in setting the payment rates for such drugs. Notably, CMS stated that a hospital"s lack of response to "this…...

48+ min ago (588+ words) Voss Capital, LLC, an investment management company, released its third-quarter 2025 investor letter. A copy of the letter can be downloaded here. Voss Capital's funds, Voss Value Fund, LP, and the Voss Value Offshore Fund, Ltd returned +5.0% and +4.9% to investors net of fees and expenses respectively, in the third quarter compared to a [] Voss Capital, LLC, an investment management company, released its third-quarter 2025 investor letter. A copy of the letter can be downloaded here. Voss Capital's funds, Voss Value Fund, LP, and the Voss Value Offshore Fund, Ltd returned +5.0% and +4.9% to investors net of fees and expenses respectively, in the third quarter compared to a +12.4% return for the Russell 2000 Index, +12.6% return for the Russell 2000 Value Index, and +8.3% return for the S&P 500 Index. The Voss Value Master Fund's total gross exposure stood at 205.4% and the net long exposure was 95.8% as of…...

1+ hour, 33+ min ago (534+ words) Employees today require health insurance. While it's not actually mandatory to offer as a benefit, it's at the top of the list for many employees and job seekers. Expanding health coverage options for Connecticut businesses Employees today require health insurance. While it's not actually mandatory to offer as a benefit, it's at the top of the list for many employees and job seekers. Making it feel mandatory for businesses that are looking to attract and retain quality employees. However, for many Connecticut business owners, the ever-rising costs associated with traditional group health plans make offering health insurance to employees feel almost impossible, and certainly outside of the budget. Today, Connecticut business owners have another option. An option that can help you manage employee health benefits more efficiently and find quality, affordable health coverage with the BusinessPlus platform. BusinessPlus simplifies the…...

1+ hour, 41+ min ago (254+ words) However, one major, and overlooked, problem with these subsidies is how they harmed people with employer-sponsored insurance and created large incentives for small employers to not offer health insurance. If you get employer-sponsored insurance, you get a tax advantage because you get to exclude the premium " a large portion of which is the compensation you earned " from your income taxes and payroll taxes. In contrast, under the ACA, the federal government sends subsidies to health insurers in the names of their enrollees, but these are unearned benefits. If Congress resuscitates the COVID-era enhanced ACA subsidies, it gets worse. The family's subsidy would be $22,017, and the net government penalty for earning coverage at work would increase to $16,113. Because the ACA's subsidies are so large, coverage is shifting from an earned workplace benefit to an unearned government welfare benefit. When employers drop…...

2+ hour, 15+ min ago (348+ words) /PRNewswire/ -- Quest Analytics, the leader in provider network design and management solutions, announced today that the Centers for Medicare & Medicaid... OVERLAND PARK, Kan., Dec. 2, 2025 /PRNewswire/ -- Quest Analytics, the leader in provider network design and management solutions, announced today that the Centers for Medicare & Medicaid Services (CMS) has renewed their contract with Quest Analytics for an additional five-year term. The renewed agreement builds on an almost two-decade long partnership that has driven innovation in network adequacy and accuracy measurement. Since 2007, Quest Analytics has supported CMS' Medicare Advantage network adequacy reviews. The company's solutions are integral to triennial network reviews, service area expansion evaluations, and the Health Plan Management System (HPMS) Network Management Module. Quest Analytics' software provides geocoding and proximity mapping capabilities to assess provider networks against CMS' time and distance standards. CMS regulations require that "Plans maintain and monitor a…...

2+ hour, 33+ min ago (748+ words) Waxahachie, TX " December 01, 2025 " PRESSADVANTAGE " Patients experiencing symptoms of hiatal hernia including severe heartburn, difficulty swallowing, chest pain, or shortness of breath may contact The Iskandar Complex Hernia Center at 469-800-9832 to schedule a consultation. The center is located at 2360 N Interstate 35E, Suite 310, Waxahachie, TX 75165, approximately 35 minutes from Dallas-Fort Worth International Airport. For more information about The Iskandar Complex Hernia Center, contact the company here: CALGARY, AB / ACCESS Newswire / December 1, 2025 / Tornado Infrastructure Equipment Ltd. (Tornado" or the Company") (TSXV:TGH)(OTCQX:TGHLF) today reported its unaudited condensed consolidated" Waxahachie, TX " December 01, 2025 " PRESSADVANTAGE " Two peer-reviewed studies published in 2024 have established that patients with large, complex hiatal hernias achieve" Coventry, UK " December 01, 2025 " PRESSADVANTAGE " Strongway Gym Supplies has announced the availability of its workout bench paired with compatible weight plates," NEW ORLEANS, LA " December 01, 2025 " PRESSADVANTAGE " TurnKey Floorings implemented an estimate policy across all flooring service…...

3+ hour, 15+ min ago (714+ words) When you run your own business, you wear every hat such as CEO, marketing director, operations manager, and like it or not, benefits administrator. Unlike corporate employees with HR teams and employer-sponsored plans, entrepreneurs must navigate the healthcare maze alone. And one wrong move with health coverage can cost thousands. For women founders, especially those who've left corporate life for the freedom of entrepreneurship, managing healthcare strategically isn't just about protecting your health; it's about protecting your profit. Healthcare isn't a personal expense to handle on the side. It's a business decision that affects your cash flow, taxes, and even your ability to work and earn. Treating it as part of your financial plan is one of the smartest moves you can make. There's also a real financial risk to going without or choosing insufficient coverage. A major emergency can…...

4+ hour, 1+ min ago (66+ words) Posted by Kim Johansen on Dec 2nd, 2025 Read Our Latest Stock Analysis on MOH Want to see what other hedge funds are holding MOH? Visit HoldingsChannel.com to get the latest 13F filings and insider trades for Molina Healthcare, Inc (NYSE:MOH " Free Report). M&F Bancorp (MFBP) vs. Its Competitors Financial Review Pan African Resources (LON:PAF) Reaches New 12-Month High " Should You Buy?...

4+ hour, 47+ min ago (448+ words) With international travel rising sharply and medical costs abroad touching Rs 8Rs 10 lakh for a single hospitalisation, one question worries many travellers: What happens if you are hospitalised abroad after your visa expires or your return ticket has passed? In that case, does travel insurance automatically extend coverage or could you end up paying massive out-of-pocket expenses? To understand how insurers treat such situations, News18 spoke with Chetan Vasudeva, Senior Vice President- Business Development at Elephant.in, Alliance Insurance Brokers, who explained how policy duration, medical emergencies, extensions and documentation determine whether a claim is accepted or rejected. Does Travel Insurance Automatically Extend If You Are Hospitalised? If the policy has expired before the hospitalisation begins, or if the insurer is not informed within the required timeframe, travellers may face significant medical bills abroad. Without an active policy or pre-approved extension, the…...

5+ hour, 24+ min ago (286+ words) A damning new study by insure-tech firm Plum has revealed that Indian health insurance companies now pay just 70.8% of cancer treatment bills on average, forcing patients to shell out the rest themselves, often Rs 45 lakh or more, even when they have Rs 510 lakh policies, said a report by Fortune India. The report, based on analysis of 8,102 actual cancer insurance claims across multiple insurers over the last three years, shows: "Cancer is no longer just a health crisis " it is a financial catastrophe for most middle-class families." Why Insurance Falls So Short The biggest culprits are deliberate policy restrictions: New cancer drugs approved by US FDA are routinely labelled "off-label" or "experimental" in India " zero coverage. Even when covered, insurers pay only half the cost. These quietly erode the actual payout. Blood cancers, brain cancer, liver, and pancreatic cancers routinely push…...