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1+ mon, 3+ week ago  (224+ words) Further change in the Star Ratings program is inevitable, but one thing won't change: plans that make targeted investments in improving the member experience and clinical outcomes, driven by data, are the most likely to succeed and achieve a higher…...

1+ hour, 31+ min ago  (184+ words) A doctor"s chilling story reveals what happens when profit margins matter more than human lives Does anyone like the health " "Hurry Up and Die:" The Quiet Brutality of Health Insurance Culture A doctor"s chilling story reveals what happens…...

2+ week, 3+ day ago  (1327+ words) California is a cash machine. The state collects some of the country's highest income, business, and fuel taxes, and now spends more than $300 billion per year. And yet, everywhere you look, California seems to be falling apart. The roads are…...

1+ day, 23+ hour ago  (1543+ words) Officials have failed to halt pervasive fraud in the hospice industry despite promises of reforms five years ago after learning of widespread corruption that targeted vulnerable patients. California authorities promised to crack down after a Times investigation in late 2020 revealed…...

1+ day, 2+ hour ago  (913+ words) (TNND) " A new report showed about 14% of Affordable Care Act enrollees didn't pay their premiums in January, signaling that millions more could be losing health coverage in the coming months. Centers for Medicare & Medicaid Services already announced a drop in…...

2+ day, 6+ hour ago  (575+ words) LINTON, Ind. (WTHI) - Greene County General Hospital filed a breach notice with Anthem on April 14 after months of failed efforts to resolve a significant payment issue. The breach notice sets in motion a 30-day window for Anthem to clear the…...

3+ mon, 1+ week ago  (544+ words) Leaders of New Mexico's health care exchange are reporting a third straight year of enrollment increases, even as federal health care tax credits expire and average premiums are set to rise in 2026." As of Monday, with more than a week…...

3+ hour, 27+ min ago  (481+ words) In March, investigative journalist Nick Shirley released video on uncovering $170 million in fraud in California. "We uncovered over $170, 000, 000 in fraud as these fraudsters live in luxury with no consequences," Nick Shirley said. "California's version of Medicaid called "Medi-Cal' has more…...

2+ day, 11+ hour ago  (605+ words) Few of us needed convincing, but a new study on medical debt provides a harrowing look at just how badly broken our nation's health care system is " through the prism of our experiences here in Virginia. Researchers at George Washington…...

3+ hour, 38+ min ago  (39+ words) A national medical transportation business says it recently canceled a 20-year contract with a local company due to fraud allegations. The company says it's not true. Minnesota company denies fraud allegations after national medical transportation business cancels co...