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Latest News & Web Pages
Why health plans are leaving surgical cost savings on the table
1+ week, 4+ day ago (446+ words) Going beyond surgery avoidance to lower total cost of care Health plans have spent years trying to curb soaring surgery utilization and costs through familiar tools: prior authorization, clinical review, network management. That approach makes sense'reduce unnecessary surgeries, reduce unnecessary…...
CMS recalculates Medicare Advantage star ratings again, adding more volatility to program
2+ hour, 3+ min ago (136+ words) Federal officials have recalculated the quality ratings for 2026 Medicare Advantage plans, a new government memo shows. The consequential decision was prompted by yet another legal action from the health insurance industry. Medicare Advantage plans that get at least four out…...
Eli Lilly ends 340 B drug discounts to some hospitals for failing to provide claims data
4+ hour, 24+ min ago (246+ words) By Ed Silverman and Tara Bannow Making good on its threat, Eli Lilly has begun eliminating mandated price breaks to a few dozen hospitals that participate in a federal drug discount program after failing to receive comprehensive claims data. The…...
Blue Cross, Michigan Medicine dispute puts 300 K patients up in the air
3+ mon, 2+ week ago (131+ words) More than 300, 000 Michigan Medicine patients might have to find new doctors if a contract dispute between the health system and Blue Cross Blue Shield of Michigan isn't resolved. Officials said. .. Blue Cross, Michigan Medicine dispute puts 300 K patients up in…...
Inside Solana's New Job Platform Announcement " What It Means
5+ hour, 46+ min ago (148+ words) Solana's new job platform aims to connect talent with opportunities. Discover what this means for the ecosystem. Solana launches a new job platform for its ecosystem. The initiative aims to connect talent with opportunities in crypto. Market observers note the…...
New Medicare Rule Has Advocates Concerned About Limits on Care
3+ mon, 1+ week ago (224+ words) Seniors often need much more medical care than the younger population. This, in part, is why Medicare programs exist -- to ensure that retirees have access to affordable healthcare coverage that pays for critical services. Unfortunately, some new limits are being…...
The Birthday Rule Is Coming. Here Is What Every Employer Needs To Know Before It Arrives
6+ hour, 41+ min ago (315+ words) Sylvia Gordon a the founder of The Medicare Family, a Medicare insurance agency licensed in all states, and is known as Medicare Mama. This is not a federal mandate and it may never reach your state, but the momentum is…...
Top Free POS Systems in Australia 2026
6+ hour, 51+ min ago (980+ words) ...
Judge denies Jackson Hospital's bid to force Blue Cross rate increase, calls request 'antithetical to public interest"
10+ hour, 18+ min ago (202+ words) A federal bankruptcy judge denied Jackson Hospital's emergency request to force Blue Cross and Blue Shield of Alabama to raise reimbursement rates, ruling the Montgomery hospital failed to meet the legal burden for a preliminary injunction. Hawkins went further, rejecting…...