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News
Nursing Homes to See $900 Million Medicare Payment Boost
6+ hour, 27+ min ago (69+ words) news.bloomberglaw.com The Trump administration is set to increase Medicare payments to nursing homes by nearly $900 million next year. The rule also makes changes to the CMS’s skilled nursing facility value-based purchasing program by reducing payments to these facilities…...
Trump Proposal to Cut Hospital Drug Pay Risks Legal Resistance
1+ day, 15+ hour ago (735+ words) The Trump administration’s proposal to slash payments for hospitals’ drug costs will likely face litigation over the validity of the survey methods used to justify the cuts if finalized in its current form, lawyers say. The US Department of Health…...
Maternity Billing Overhaul Adds Scrutiny to Doctor Group’s Codes
6+ day, 18+ hour ago (109+ words) Bloomberg Law News The health insurance industry is adding to scrutiny of the American Medical Association’s control of billing codes, voicing resistance to the group’s planned overhaul of how doctors bill health plans for maternity care. Insurers say they didn’t…...
Cigna Dealt Three Surprise Billing Losses to Doctors in Court
1+ week, 7+ hour ago (63+ words) Bloomberg Law News Three plastic surgery practices scored a trio of wins in federal court in Connecticut against Cigna Health and Life Insurance Co. for unpaid surprise billing awards, in the largest signal yet that courts are not uniformly on…...
Trump HHS Rule Seeks to Impose Limits on Medicaid Provider Taxes
1+ week, 1+ day ago (117+ words) Bloomberg Law News The Trump administration proposed a regulation that could significantly change the way states can generate additional income to fund their Medicaid programs. The proposed rule (RIN 0938-AV93), released Tuesday by the Centers for Medicare & Medicaid Services, cracks down…...
Allstate Wins Robust Fraud Litigation Powers Against NJ Doctors
1+ week, 1+ day ago (122+ words) Bloomberg Law News In a win for Allstate and the broader insurance industry, the New Jersey Supreme Court on Tuesday upheld the right to bring billions of dollars worth of medical billing fraud claims in open court. The ruling will…...
Insurers Urge More Oversight of State Essential Health Benefits
1+ week, 2+ day ago (121+ words) Bloomberg Law News Insurance groups are pressing the Centers for Medicare & Medicaid Services for stricter oversight of states’ essential health benefits as the agency contemplates overhauling the Affordable Care Act’s core measure. The CMS released a request for comment in…...
Clinic, Physician Practice Bankruptcies Rise in Healthcare Slump
1+ week, 2+ day ago (848+ words) As the healthcare industry grapples with federal policy changes and a slew of bankruptcies, Chapter 11 filings for clinic and physician practices are on track to rise. That subsector represented almost 30% of healthcare Chapter 11 cases with at least $10 million in liabilities…...
Comcast Sued Over Extra Healthcare Plan Fees Charged to Smokers
1+ week, 2+ day ago (52+ words) Bloomberg Law News A Comcast Corp. employee filed a proposed class action challenging the cable provider’s practice of charging tobacco-using employees an extra $25 per paycheck for healthcare coverage. Learn more about Bloomberg Law or Log In to keep reading:...
US Outlines Plan for Implementing Third Cycle of Drug Price Cuts
1+ week, 6+ day ago (113+ words) Bloomberg Law News The Trump administration issued draft guidance Thursday on how pharmaceutical companies will need to provide access starting in 2028 to prices for drugs in the Medicare program they negotiated with the government. The Centers for Medicare & Medicaid Services…...