News
United Healthcare Owes Fees, Penalties for Wrongly Denied Claim
3+ day, 17+ hour ago (79+ words) A woman who sued United Healthcare Insurance Co. for failing to fully cover a procedure related to an earlier weight-loss surgery won her appeal in the US Court of Appeals for the Ninth Circuit. Learn more about Bloomberg Law or…...
HHS Proposes Medicare Payment Rate Increase for Hospitals
1+ week, 8+ hour ago (111+ words) Bloomberg Law News The Trump administration is seeking to increase Medicare reimbursement for outpatient services at acute care hospitals by 2. 4%, or $1. 4 billion in 2027, according to a proposed rule released Friday. The proposal (RIN 0938-AV79) from the Centers for Medicare & Medicaid Services…...
HHS Medicare Advantage Rate Shift Eases Fears of Stifling Access
1+ week, 2+ day ago (110+ words) Bloomberg Law News The Trump administration's increase of Medicare Advantage rates for next year from a smaller proposed boost will likely limit concerns that insurance companies would be forced to withdraw from the program, health analysts said. The Centers for…...
Insurers Soar After US Boosts Final Medicare Advantage Rates (4)
1+ week, 3+ day ago (78+ words) Bloomberg Law News The US Medicare program will pay private insurers 2. 48% more in 2027, a meaningful improvement over the initial rates the agency proposed in January. Shares of major insurance companies jumped on the news in premarket trading on Tuesday, with…...
HHS Vision on Catastrophic Plans Tests Legal, Industry Limits
1+ week, 5+ day ago (935+ words) The Trump administration's bid to rewrite how catastrophic plans are structured under the Affordable Care Act is raising legal and actuarial questions, even as some policy professionals applaud the creativity aimed at solving rising premiums. The Centers for Medicare & Medicaid…...
Insurers Soar After US Boosts Final Medicare Advantage Rates (2)
1+ week, 4+ day ago (78+ words) Medicare Finalizes 2. 48% Rate Hike for Private Insurers in 2027 Bloomberg Law News The US Medicare program will pay private insurers 2. 48% more in 2027, a meaningful improvement over the initial rates the agency proposed in January. Shares of major insurance companies jumped on…...
HHS Proposes Medicare Pay Bump for Hospices, More Transparency
2+ week, 1+ day ago (122+ words) Bloomberg Law News The Trump administration proposed new transparency measures for hospices under Medicare amid a focus on fraud led by Centers for Medicare & Medicaid Services Administrator Mehmet Oz. The proposed rule (RIN 0938-AV78), released Thursday by the CMS, also includes…...
View Beats Out Insurer on Coverage for De-SPAC Litigation
2+ week, 3+ day ago (122+ words) Bloomberg Law News An insurance policy exclusion for claims related to public offerings doesn't let Star Stone Specialty Insurance Co. off the hook for litigation against "smart window" maker View Operating Corp. following its 2021 de-SPAC merger transaction, a Delaware court…...
Family Planning Clinics Brace for Gap in Federal Grant Funding (1)
4+ week, 15+ hour ago (115+ words) Family planning clinics that receive federal funds face a nearly impossible timeline to secure their next batch of grants at a time when many of these providers are already struggling to stay afloat. Applications to continue funding this year are…...
United Healthcare Told to Pay Mental Health Residential Benefits
2+ week, 4+ day ago (60+ words) Bloomberg Law News United Healthcare Insurance Co. and United Behavioral Health must pay benefits, attorneys" fees, and interest to a beneficiary after repeatedly denying claims for her son"s mental health treatment at a residential facility in Utah, a federal…...