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Elevance, UnitedHealth among insurers accused of alleged price fixing
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Top Stories
Elevance, UnitedHealth among insurers accused of alleged price fixing
J&J sues HRSA for blocking 340B plan
Telehealth prescribing of controlled drugs extended
Reimbursement
Nov 19 | Susan Morse
Elevance, UnitedHealth among insurers accused of alleged price fixing
The complaint claims the scheme was aimed at suppressing payment rates to doctors for out-of-network services.
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Nov 14 | Susan Morse
Denials top reason for eroding provider-payer relationship
Most CFOs are not looking to technology or AI as a solution, says new HFMA report.
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Nov 07 | Susan Morse
Walgreens pays $100 million to settle class action drug case
Insured customers paid more for drugs than members of its Prescription Savings Club, lawsuit alleges.
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Nov 06 | Susan Morse
Elevance latest insurer to sue over Medicare Advantage star ratings
Star ratings represent billions of dollars in quality bonus payments. CMS has cost Elevance $375M, the complaint says.
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Nov 06 | Jeff Lagasse
Aetna underperforms, plans recovery as CVS Health logs $95.4B in revenue
CEO David Joyner put much of the onus on the poor performance on elevated utilization coming out of the pandemic.
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Nov 05 | Susan Morse
Home health agencies get half a percent pay increase
Providers have gotten a nearly 9% permanent cut to home health payment since 2023, says LeadingAge.
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Nov 05 | Susan Morse
Medical groups push for end to yearly payment cuts
Time is running out for Congress to pass legislation to avert the cuts, AMA says.
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Nov 05 | Jeff Lagasse
CMS gives renal dialysis facilities a 2.7% increase
CMS is finalizing a new specific wage index that will be used to adjust payments for geographic differences in area wages.
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Nov 05 | Jeff Lagasse
AHA criticizes 2.9% increase in CMS' OPPS final rule
The AHA says the final rule only worsens the problem of "sustained and substantial underpayment" of hospitals.
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Oct 31 | Susan Morse
Bill would give physicians a pay increase, block Medicare cuts
Congress must enact permanent reform instead of making last-minute payment fixes each year, says MGMA.
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