4+ hour, 1+ min ago  (207+ words) Emerging research points to a "vortex" of medical debt in which opaque hospital pricing, hidden fees, and aggressive legal tactics can transform routine care into long-term financial strain." Researchers found that providers in Virginia alone filed more than 1 million medical…...

1+ week, 4+ day ago  (333+ words) In the brief, ASA urged the court to dismiss UnitedHealthcare's fraud claims, warning that allowing insurers to pursue fraud allegations based on disputed IDR eligibility determinations undermines the administrative framework Congress created in the NSA, which could open the door…...

1+ mon, 6+ day ago  (586+ words) Newswise " In most states, Medicaid eligibility rules shift at age 19, when individuals transition from child to adult classification. A new study led by the University of Chicago finds that this policy threshold coincides with a sharp spike in Medicaid disenrollment,…...

1+ mon, 2+ week ago  (383+ words) Newswise " High prescription drug prices are not caused by any single company or practice, but by the system itself, said an expert on prescription prices at Washington University in St. Louis. If Congress wants to lower drug prices, it need…...

1+ mon, 3+ week ago  (246+ words) Big data and LASSO improve health insurance risk prediction | Newswise'Newswise Big data and LASSO improve health insurance risk prediction Variable-group selection results indicate which categories of information are most informative for predicting the study's health-risk proxies. Insurers must price and…...

1+ mon, 4+ week ago  (167+ words) The Georgia APCD All-Payer Claims Database Cost Comparison Tool contains information on more than 200 medical procedures. Georgia Insurance Claims Database Provides Health Care Cost Comparisons Newswise " Georgia residents now have a new way to compare the estimated costs paid for…...

2+ mon, 1+ week ago  (514+ words) Rutgers Expert Available to Discuss Trump Administration's New Healthcare Plan | Newswise'Newswise Rutgers Expert Available to Discuss Trump Administration's New Healthcare Plan Stephen Crystal is director of the Center for Health Services Research at Rutgers Institute for Health, Health Care Policy…...

2+ mon, 1+ week ago  (462+ words) A new study examines the potential impact of the Medicare Prescription Payment Plan (M3P) " an opt-in policy implemented in 2025 under the Inflation Reduction Act that allows beneficiaries to spread out of pocket (OOP) costs over the calendar year " on Medicare Part…...

4+ mon, 1+ week ago  (1891+ words) Newswise " If you buy your own health insurance, or had planned to for next year, you might have seen news stories and social media posts about insurance costs going up. And not just a little. A lot. You also might…...

4+ mon, 2+ week ago  (313+ words) Leading medical societies spoke out against an Anthem plan to impose a 10% payment penalty on facility claims involving out-of-network (OON) clinicians, a policy that raises serious legal and ethical questions, shifts Anthem's network adequacy responsibility to hospitals and other facilities,…...