News
Medicare Advisers Urge Payment Changes to Rein In Program Costs
10+ hour, 3+ min ago (96+ words) Bloomberg Law News A key Medicare panel that advises Congress issued a report Monday analyzing the financial health of the federal insurance program, outlining steps policymakers can take to ensure its continued viability. The Medicare Payment Advisory Commission focused much…...
CMS Seeks Input on Revisiting ACA's Essential Health Benefits
9+ hour, 4+ min ago (109+ words) Bloomberg Law News The Centers for Medicare and Medicaid Services is soliciting comments on whether it should alter requirements for essential health benefits, which are one of the most recognizable pillars of the Affordable Care Act. The agency said Friday…...
Medicaid Agency Increases Scrutiny of States" Health Pilot Plans
1+ day, 8+ hour ago (112+ words) Bloomberg Law News The Trump administration announced that it will begin closer inspections of state Medicaid pilot programs to ensure they don"t add costs for the federal government. The Centers for Medicaid & Medicaid Services sent a letter to state…...
AI's Promise for Clients Isn't Lower Bills, It's Better Outcomes
2+ day, 20+ hour ago (543+ words) When it comes to artificial intelligence, the legal profession is measuring the wrong thing. The conversation around legal AI is dominated by efficiency: hours saved, costs reduced and more documents reviewed faster. That framing obscures the real value that AI-empowered…...
Bankrupt Alabama Hospital's Closure Risks Disaster, Report Warns
3+ day, 11+ hour ago (298+ words) A patient care ombudsman filed a report warning about the "devastating impact" to local residents from the potential closure of one of Alabama's largest healthcare institutions. "Periods of high demand could quickly become public health disasters because, without Jackson, the…...
Trump's Medicaid Office Sets New Work Requirements for States
1+ week, 4+ day ago (430+ words) The Trump administration announced additional requirements for how states will comply with work requirements for Medicaid participants established under last year's tax and spending package. Under the interim final rule issued Monday, able-bodied Medicaid beneficiaries over the age of 18 will…...
Trump's Addition of Non-Network Health Coverage Lacks Specifics
1+ week, 4+ day ago (1015+ words) The Trump administration's move to expand the types of health plans on the Obamacare exchanges to those that don't include built-in doctor networks clears the way for alternative insurance companies to enter the market, even as several operational questions remain…...
PBM Lobby Rolls Out New Messaging After Congressional Changes
1+ week, 4+ day ago (82+ words) Bloomberg Law News The nation's top pharmacy benefit manager lobbying group, the Pharmaceutical Care Management Association, is launching a new seven-figure advertising campaign Monday focused on affordability. PCMA exclusively told Bloomberg Government this will be the largest amount of money…...
Met Life Beats Benefits Appeal Over In-Home Dialysis Accident
2+ week, 14+ hour ago (235+ words) Metropolitan Life Insurance Co. validly refused to pay $170, 000 in accidental death benefits to a man whose wife died after a mishap during in-home dialysis treatment, the Eighth Circuit held Friday. Five former Aon Corp. employees filed a proposed class action…...
Trump Sets Rules for Surprise Medical Bill Arbitration (Correct)
2+ week, 1+ day ago (272+ words) The Trump administration on Thursday finalized new parameters for health insurers and providers settling disputes over surprise medical bills, in a rule addressing some of the provisions that federal courts struck down. The industry hopes the rule will help fix…...