News
United Healthcare on Hook for $90,000 in Liposuction Procedures
2+ hour, 48+ min ago (57+ words) United Healthcare on Hook for $90,000 in Liposuction Procedures'Bloomberg Law News A lipedema patient won her lawsuit seeking to force United Healthcare Insurance Co. to cover six liposuction procedures that cost her nearly $90,000, according to a ruling from a North Carolina…...
Medicare Proposal Seeks to Limit Insurer Tactic, Extra Payments
1+ week, 6+ day ago (651+ words) The Trump administration's proposed update to its Medicare payment policies could affect larger Medicare Advantage companies more than smaller firms, health policy watchers say. The 2027 Medicare Advantage and Part D Advance Notice, released this week by the Centers for Medicare…...
Insurers Sink on US Plan to Keep Medicare Payment Rates Flat (3)
2+ week, 1+ day ago (112+ words) Insurers Drop on US Proposal to Keep Medicare Payment Rates Flat'Bloomberg Law News Shares of major US insurers tumbled after the US proposed holding payments to private Medicare plans flat next year, a huge disappointment for investors. Shares of UnitedHealth…...
Ardelyx Investors Appeal Dismissal of Medicare Program Lawsuit
2+ week, 5+ day ago (55+ words) Ardelyx Investors Appeal Dismissal of Medicare Program Lawsuit'Bloomberg Law News Ardelyx Inc. investors will request an appellate court reverse the dismissal of their allegations the biotech company lied to shareholders about intending to include its dialysis patient treatment in a…...
Medicare Advantage Plan Sues Agency Over Drop in Quality Rating
3+ week, 3+ hour ago (106+ words) Medicare Advantage Plan Sues Agency Over Drop in Quality Rating'Bloomberg Law News A Maryland-based Medicare Advantage insurer sued the Trump administration for allegedly reducing its quality rating due to errors made by the federal government and its contractor. The complaint,…...
Cigna Beats Excess Insurers on Coverage for DOJ Investigation
1+ mon, 5+ day ago (98+ words) Cigna Beats Excess Insurers on Coverage for DOJ Investigation'Bloomberg Law News A 2016 civil investigative demand made to Cigna Group by the US Department of Justice over potential False Claims Act violations counts as a covered "claim" under excess insurance policies,…...
Medicare Payment Parity for Doctor Services Gathers Steam
1+ mon, 1+ week ago (58+ words) Medicare Payment Parity for Doctor Services Gathers Steam'Bloomberg Law News Washington policymakers are coalescing around plans to expand Medicare payment parity next year, a policy shift that could see hospitals" outpatient departments being paid the same rates as doctors" offices…...
HHS Proposes Updating Medicare Drug Cost-Sharing, Plan Ratings (1)
2+ mon, 2+ week ago (381+ words) The Trump administration on Tuesday proposed a rule cementing changes to patient cost-sharing in Medicare's Part D prescription drug benefit and updating the methodology used to rate private Medicare Advantage plans. If finalized, the rule, RIN 0938-AV63, would implement changes to…...
Blue Cross Blue Shield Loses Medicare Quality Rating Challenge
3+ mon, 6+ day ago (116+ words) Blue Cross and Blue Shield of Massachusetts and its HMO subsidiary are set to lose out on tens of millions of dollars in bonus payments after a federal court denied its Medicare quality rating challenge. Blue Cross and Blue Shield…...
HCA Healthcare’s Settlement of Data Breach Suit Gets Final Nod
3+ mon, 1+ week ago (237+ words) HCA Healthcare Inc.'s settlement of a class action alleging it negligently failed to protect the personal information of around 11 million patients in a 2023 data breach received final approval from a federal court. HCA Healthcare Inc.'s settlement of a…...