Reimbursement

Reimbursement

Jan 31 | Susan Morse

Bipartisan House bill introduced to stop physician pay cut

A 2.8% payment cut went into effect on January 1 after a spending bill stripped a provision to prevent the decrease.

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Person picking up prescription at a pharmacy

Jan 31 | Jeff Lagasse

Many independent pharmacists will not stock drugs in the price negotiation program

CMS should bar PBMs from requiring pharmacies to participate in the program, says association survey.

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The Change Healthcare booth at HIMSS24 in Orlando.

Jan 28 | Jeff Lagasse

190 million people affected by Change Healthcare cyberattack

The figure of 190 million people has been amended from past estimates, which put the total at about 100 million.

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Jan 23 | Susan Morse

CMS appeals UnitedHealthcare's star ratings win

UnitedHealth had won its case over a secret shopper phone call that lowered its MA star rating from 5 to 4 stars.

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Jan 22 | Jeff Lagasse

DOJ sues Walgreens for dispensing alleged illegal prescriptions

The lawsuit says Walgreens sought reimbursement for the prescriptions from various federal healthcare programs.

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Jan 14 | Susan Morse

CMS finalizes new rule to safeguard Affordable Care Act coverage

To reduce unauthorized changes to coverage, the rule expands CMS' authority to immediately suspend an agent or broker.

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Jan 13 | Susan Morse

Medicare Advantage plans get proposed 4.3% pay hike

AMA says it's unbelievable that insurance companies are getting a pay increase while physician practices are struggling to survive.

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Jan 09 | Susan Morse

Record-setting enrollment for Affordable Care Act coverage

Enhanced tax credits that allow for low ACA premiums expire at the end of 2025.

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Jan 07 | Susan Morse

CVS unveils new prescription drug reimbursement model

All commercial prescriptions dispensed at CVS Pharmacy will be reimbursed through CVS CostVantage.

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Jan 06 | Susan Morse

Mayo Clinic sues Sanford Health Plan over unpaid medical bill

Mayo alleges that Sanford in South Dakota is responsible for $739,956.20 in medical expenses incurred by a patient in 2022.

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