by Jordana Choucair | Feb 13, 2023 | Payers
CMS notified providers and health plans involved in dispute resolution under the Surprise Billing Act to put their payment determinations on hold. Last week, a federal judge ruled in favor of the Texas Medical Association regarding a challenge against the Biden...
by Jordana Choucair | Feb 9, 2023 | Payers
A new survey from Willis Towers Watson revealed that employers are examining their relation with health and wellbeing vendors to ensure they are getting their money’s worth and receiving the services that the vendor said they would deliver. The survey found that 88...
by Jordana Choucair | Feb 9, 2023 | Payers
Centene Corp. has agreed to pay more than $215 million to California over allegations it overcharged the state for pharmacy services. The agreement makes California at least the 17th state to settle pharmacy billing claims totaling $939 million with Centene and the...
by Jordana Choucair | Feb 9, 2023 | Payers
UnitedHealthcare announced UnitedHealthcare Rewards – a new wearables-based rewards program for members and their spouses. Via the program, eligible members can earn up to $1,000 per year by using wearable devices to complete health goals and activities. The insurer...
by Jordana Choucair | Feb 9, 2023 | Payers
The Department of Justice (DOJ) announced that it collected $2.2 billion in False Claims Act settlements and judgments for the federal fiscal year 2022, with over $1.7 billion related to the health care industry. The $1.7 billion in collections range from fraud in...
by Jordana Choucair | Feb 8, 2023 | Payers
A study published in Health Affairs found that Medicare Advantage (MA) plans added 22.2 million beneficiaries while traditional Medicare lost 1 million enrollees from 2006 through 2022. According to the research, MA growth occurred broadly across counties and age...
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