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Jefferson Health sues Aetna over Medicare Advantage ‘downcoding’ policy
3+ hour, 41+ min ago (277+ words) The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and its reimbursement contract with Aetna. Aetna says its new policy, which went into effect at the start of the year, is meant…...
Prison sentences issued for life insurance scheme targeting addicts, homeless population in Arizona
39+ min ago (213+ words) PHOENIX " Two people have been sentenced to an Arizona prison for partaking in a "predatory scheme" involving fraudulent life insurance policies." The Arizona Attorney General's Office has announced that Ryan Michell, 46, and Shannon Lovell, 35, have both been sentenced to prison…...
Employer-Provided Health Coverage: The Economic Engine Driving U.S. Productivity & GDP Growth
1+ hour, 3+ min ago (323+ words) Employer-provided coverage (EPC) represents far more than a workplace benefit'it's a strategic economic investment that directly impacts American productivity, competitiveness, and GDP growth. While health care policy debates often focus on premium costs and coverage mechanics, the broader economic picture…...
Plexus (NASDAQ:PLXS) Hits New 12-Month High - Here's What Happened
1+ hour, 33+ min ago (165+ words) Plexus Corp. (NASDAQ:PLXS - Get Free Report) reached a new 52-week high during trading on Wednesday . The company traded as high as $221.46 and last traded at $215.8750, with a volume of 110653 shares changing hands. The stock had previously closed at $207.87. Read…...
Skilled nursing facilities get a proposed 2.4% increase
56+ min ago (340+ words) Skilled nursing facilities get a 2.4% payment increase for 2027, in a proposed rule released last week. The Centers for Medicare and Medicaid Services'proposes to update'the Skilled Nursing Facility Prospective Payment System SNF PPS rates by 2.4% based on a market basket of…...
Florida insurance brokers and parent company to pay over $135 Million for ACA fraud scheme
1+ hour, 50+ min ago (237+ words) The company is accused of illegally enrolling individuals into fully subsidized ACA plans, resulting in over $141 million in undeserved federal subsidies. "APSF exploited vulnerable individuals for financial gain, defrauding the U.S. government in the process," stated FBI Director Kash Patel. See…...
Gavin Newsom’s $30 Billion Fraud Magnet
1+ hour, 29+ min ago (918+ words) California's In-Home Supportive Services Program is ripe for scams, experts say. This is the story of a government that has allowed compassion to become a mask for fraud, creating a self-reinforcing system that keeps the Democratic establishment in power. In…...
UnitedHealth stock surges after Medicare Advantage rate boost
22+ hour, 23+ min ago (409+ words) UnitedHealth Group shares surged more than 8% after federal regulators unveiled a stronger-than-expected Medicare Advantage payment increase, delivering relief to the health insurance giant and the broader managed-care sector. The stock jumped from its Monday close of $281.41 to above $305 in intraday…...
Healthcare provider in good fettle with new deal
8+ hour, 8+ min ago (166+ words) Published by Editor Steven Hugill on 08 Apr 2026 One Health Group has renewed a deal with Sheffield Teaching Hospitals. Officials say the three-year agreement will build on a ten-year-plus relationship and help "provide crucial support for the NHS as it faces…...
SEC: Some Crypto Enforcement Cases Fail to Deliver Investor Protection
14+ hour, 8+ min ago (274+ words) The U.S. Securities and Exchange Commission (SEC) has acknowledged that some enforcement actions against cryptocurrency companies have not directly protected investors. According to Cointelegraph, the SEC highlighted misunderstandings in the interpretation of federal securities laws. " Since the fiscal year 2022, the SEC…...