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16+ min ago   (312+ words) Below I explore how each of these manifests, why they matter in the claims context, and how insurers route to detection and mitigation. False or Inflated Billing/Services Not Rendered From a claims management standpoint, this is highly significant: Costs…...

1+ hour, 17+ min ago   (643+ words) Penn's Leonard Davis Institute of Health Economics hosted a panel on Jan. 16 to discuss the implications of the Trump administration's drug pricing initiatives. The event hosted four panelists who discussed drug pricing provisions set forth by the White House. Moderated…...

3+ hour, 5+ min ago   (303+ words) Today, people worry most about how to get insured if they have been diagnosed with a health condition. They shouldn't. Insurers are now good at understanding and insuring people with adverse health. These are recorded in the policy as "pre-existing…...

4+ hour, 59+ min ago   (367+ words) Medicare is a big expense. Don't pay more for it than you have to. One of the biggest expenses you might encounter as a retiree is none other than healthcare. And a big part of that stems from the fact…...

5+ hour, 59+ min ago   (900+ words) Smart insurance decisions do more than satisfy a lender or meet a legal rule. They protect the money you have tied up in a home, a vehicle, and the everyday routines that depend on both. When a bad event hits,…...

6+ hour, 5+ min ago   (460+ words) India's healthcare and health insurance sectors are ramping up data protection as the DPDP Act comes into force in May 2027. Hospitals and insurers are embedding privacy into operations, updating policies, and investing in compliance tools. The legislation is seen as…...

6+ hour, 32+ min ago   (523+ words) Enrollment in Obamacare is slowing down in California after Republicans in Congress opted not to extend a policy that beefed up financial assistance for patients, a move that led to the longest federal government shutdown in U.S. history. "These early numbers…...

6+ hour, 33+ min ago   (447+ words) When Congress passed the No Surprises Act (NSA), the goal was clear: protect American patients from outrageous surprise medical bills.... Hospitals Are Allowing Foreign Governments to Exploit a U.S. Patient Protection Law When Congress passed the No Surprises Act (NSA), the…...

6+ hour, 35+ min ago   (666+ words) Through the Affordable Care Act, 40 states and Washington D.C. have expanded Medicaid coverage. For these states, Medicaid includes people with higher incomes than previously qualified. Typically, expansion adults have incomes up to 138% of the federal poverty level (FPL). The One Big…...

6+ hour, 38+ min ago   (174+ words) As hospitals and health systems close clinics in multiple states, physicians and ASC operators are watching closely for ripple effects on workforce stability, care continuity and outpatient demand. Here are three hospitals or health systems closing clinics since Dec. 1: 1. Des…...