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News
California’s Healthcare Affordability Office Claims Power to Punish Overspending Hospitals
4+ day, 18+ hour ago (1016+ words) Year after year Californians watch their health bills increase faster than their wages — for some, to the point where care becomes unaffordable. Four years ago, the state created an office to curb that trend. Now, the California Office of Health…...
Average HSA Balances Hit Record High
1+ week, 4+ day ago (233+ words) Average health savings account balances reached a record high of $5,532 in 2024, a new report from the Employee Benefit Research Institute found. More than half of account holders took distributions, and nearly 20% invested HSA funds in non-cash assets. As employees gain…...
In Toss-Up House District, Voters Crave Leadership To Fix Broken Healthcare
1+ week, 4+ day ago (824+ words) Carlos A. grew up in a family on Medicaid, which made healthcare an afterthought since the public insurance is free for low-income enrollees. But when he received a raise two years ago, he found himself earning too much to qualify for…...
A Look Inside The Expanded Partnership Between SCAN And Costco
2+ week, 4+ day ago (686+ words) SCAN Group and retailer Costco are expanding their partnership by launching new co-branded Medicare products. The initial plans include a Medicare Advantage plan available in two states and Medicare supplement coverage in a third. The companies said the launch makes…...
Insurer Prior Authorization Denial Rates Top 18%: KFF
3+ week, 2+ day ago (287+ words) Efforts to rein in the high cost of health care in recent years often have targeted the use of prior authorization by insurers. Patients and providers argue that it can result in delays or denials in receiving needed care, while…...
Group Sues AMA Seeking Transparency Over Medicare Billing Codes
3+ week, 4+ day ago (189+ words) A health care advocacy group on Thursday sued the American Medical Association in an effort to get more transparency over the association’s billing codes, which guide billions of dollars in health care payments. PatientRightsAdvocate.org hopes to republish the codes…...
U.S.Appeals Court Voids Formula Used To Avert Surprise Medical Bills
3+ week, 4+ day ago (347+ words) Word & Brown General Agency A federal appeals court on Tuesday struck down a formula used by healthcare providers, insurers and the government that is designed to shield patients from staggeringly high “surprise” medical bills. - In an unsigned decision, a majority…...
How California’s Hospice Industry Spiraled Out Of Control — And Cost Millions In Fraud
3+ week, 4+ day ago (1706+ words) A quiet change in California law in 2018 unleashed a deluge of new hospices and spurred millions of dollars in Medicare fraud that state and federal authorities are still trying to unwind. Hospices shared addresses with burrito stands, car repair shops…...
Major PBMs Agree To Offer TrumpRx Pricing Information To Members
3+ week, 4+ day ago (352+ words) The Pharmaceutical Care Management Association announced Thursday that its members had reached an agreement with the feds to offer information on cash prices available through TrumpRx. The commitment encompasses nine of the industry’s leading pharmacy benefit managers, including the “Big…...