News
A suspicious denial pattern in Medicare Advantage
1+ hour, 46+ min ago (122+ words) statnews. com For those interested in peptides, stem cells, supplements, red light treatments, hyperbaric chambers, body vibration devices, or getting ion balances through walking barefoot " RFK'Jr. s most recent podcast might be worth a listen. Send news tips and wellness…...
United Healthcare's lactation billing feud, and fake strokes
3+ day, 1+ hour ago (153+ words) statnews. com I live in northwest Indiana, and it appears the Chicago Bears are going to put the team's new stadium here, well outside the actual city of Chicago with almost no public transit and financed completely by Indiana taxpayers....
Halo MD faces fourth insurer lawsuit over No Surprises Act disputes | STAT
1+ week, 19+ hour ago (202+ words) Halo MD faces lawsuit alleging No Surprises Act middleman used "sham letter," misleading data statnews. com Halo MD faces lawsuit alleging No Surprises Act middleman used "sham letter," misleading data Highmark Health is fourth insurer to sue, seeking to overturn…...
Trump's Medicaid work requirements have an unwelcome surprise for some states and patients
1+ week, 1+ day ago (286+ words) By Tara Bannow, Chelsea Cirruzzo, and Daniel Payne Medicaid leaders and advocates say they're shocked by the Trump administration's harsh directives for implementing Medicaid work requirements, which they say mark a pivot from how federal officials had characterized their plans…...
The medical-billing AI arms race between providers and insurance
1+ week, 1+ day ago (1126+ words) In November 2020, Bisi Bennett went into labor at seven months pregnant. Halfway to Advent Health hospital, with her husband, Chris, behind the wheel, she gave birth to their son Dorian in their Mitsubishi Outlander. He didn't breathe. At the hospital,…...
Eli Lilly warns hospitals to submit claims data in the next five days or lose their 340 B drug discounts
1+ week, 2+ day ago (208+ words) statnews. com Eli Lilly has told about 50 hospitals participating in a federal drug discount program to submit comprehensive claims data over the next five days or they will no longer receive the mandated price breaks. The move comes after the…...
No Surprises Act arbitration rule could worsen flood of provider disputes
1+ week, 3+ day ago (208+ words) statnews. com Health insurers, providers, and consumer advocates praised the Trump administration's long-awaited fixes to the No Surprises Act's arbitration process, but some warned they won't address its most pernicious problem: the provider gaming that's costing millions." The final rule…...
Florida hospitals win $8 billion in extra Medicaid funds
3+ week, 22+ hour ago (234+ words) Bob Herman is the author of Health Care Inc. , an award-winning weekly newsletter about the business of health and medicine. The federal government is sending nearly $8 billion in supplemental Medicaid funds to hospitals in Florida for care they delivered last…...
Maryland state affordability board places a price cap on Ozempic
3+ week, 2+ day ago (268+ words) Ed Silverman is a senior writer and Pharmalot columnist at STAT, and has covered the pharmaceutical industry for three decades. Prior to joining STAT at its founding in 2015, he worked at The Wall Street Journal, The Star-Ledger of New Jersey,…...
Trump's CMS to allow skimpier plans on ACA exchanges
3+ week, 2+ day ago (194+ words) The Trump administration is opening the floodgates for Affordable Care Act exchanges to feature plans that offer bare-bones coverage and fewer protections, but which have lower monthly premiums. The Centers for Medicare and Medicaid Services on Friday finalized its proposal…...