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News
Sen. Ron Wyden Previews Bipartisan Long-Term Care Initiatives
3+ mon, 4+ week ago (123+ words) Bloomberg Government News Sen. Ron Wyden (D-Ore.) plans to unveil fresh incentives for long-term care next week that will have bipartisan appeal, adding Senate Democrats are well positioned to work on healthcare issues in the months ahead. Capitol Hill has…...
BGOV Bill Analysis: H.R. 5347, Accountable Care Group Metrics
2+ mon, 1+ week ago (78+ words) Bloomberg Government News Accountable care organizations would maintain flexibility in how they can report quality metrics through 2029 under H.R. 5347. ACOs participating in the Medicare Shared Savings Program can share in savings they generate for Medicare if they comply with various requirements,…...
Retiring Health Panel Republican’s Medicare Bill Passes House
2+ mon, 1+ week ago (54+ words) Bloomberg Government News A bipartisan bill (H.R. 5347) aiming to reduce reporting burdens on groups of physicians and hospitals who coordinate to improve care for Medicare beneficiaries sailed through the House on Monday. Learn more about Bloomberg Government or Log In to…...
GOP Lawmakers Cast Wary Eye at Medicare Advantage Overpayments
5+ mon, 3+ week ago (58+ words) Bloomberg Government News Lawmakers and the administration are stepping up scrutiny of overpayments in Medicare Advantage plans in a sign that Republicans increasingly could be willing to crack down on how much insurers are reimbursed for seniors’ health care. Learn…...
Senate Democrats Attempt to Block Medicare AI, Prior Auth Model
1+ mon, 3+ week ago (77+ words) Bloomberg Government News Senate Democrats attempted to stop a Trump administration experiment allowing prior authorization to be implemented in traditional Medicare using artificial intelligence on Thursday. “Now decisions between doctors and patients are overridden by for-profit AI contractors,” said Sen....
Senators Urge Trump to Rein in Medicare Advantage Upcoding
5+ mon, 1+ week ago (88+ words) Bloomberg Government News A bipartisan group of four senators is pushing the Trump administration to crack down on a practice known as upcoding in Medicare Advantage plans, according to a letter obtained by Bloomberg Government. Upcoding is the practice of…...
Senate Finance Dems Explore Universal Health Insurance Options
1+ mon, 1+ week ago (119+ words) Bloomberg Government News Senate Finance Committee Democrats released a policy paper on Thursday outlining the party’s goals for expanding insurance coverage under a future Democratic trifecta — aiming at achieving universal coverage. “Today’s announcement is the latest step among Senate Democrats…...
Nursing Facility Escapes Medicare Fraud Suit Again on Appeal
3+ week, 5+ day ago (121+ words) Bloomberg Government News A federal appeals court Monday upheld the dismissal of a lawsuit accusing an Illinois nursing facility and related pharmacy of violating the False Claims Act by billing Medicare for improperly prescribed pain medication. The three-judge panel for…...
House Panel Approves Bipartisan PBM Measure for Federal Benefits
1+ mon, 3+ week ago (91+ words) House Panel Passes Bipartisan PBM Measure for Federal Benefits Bloomberg Government News Legislation advanced on a bipartisan basis by the House oversight panel Wednesday aims to regulate pharmacy benefit managers contracting with health benefits for federal employees. The measure (H.R. 6610) would…...