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News
The Sixth Circuit Revives the Medicare Waiver of Liability for Overpayments and Appeals
2+ hour, 16+ min ago (120+ words) When a provider or supplier of services bills the Medicare program and receives payment, but at a later date the program audits the claim and denies it, can the provider or supplier be relieved of any financial liability if it…...
Congress Should Reconsider Medicare Advantage as Seniors Lose Coverage
7+ hour, 32+ min ago (297+ words) Citizens’ Council for Health Freedom Calls on Congress to Restore Health Security by Moving the Money Back to Original Medicare ST PAUL, MN, UNITED STATES, August 24, 2026 /EINPresswire.com/ -- Corporate health plans are terminating Medicare Advantage coverage for hundreds of thousands…...
SCAN and Costco Launch Landmark Partnership to Reimagine Healthcare for Older Adults
6+ day, 8+ hour ago (414+ words) The National Law Review SCAN and Costco Launch Landmark Partnership to Reimagine Healthcare for Older Adults LONG BEACH, CA, AND ISSAQUAH, WA, UNITED STATES, August 18, 2026 /EINPresswire.com/ -- Today, SCAN Health Plan (SCAN) and Costco Wholesale Corporation (“Costco”) (Nasdaq: COST) announce…...
Takeaways from CMS' 2027 Outpatient Prospective Payment System Pr
1+ week, 4+ day ago (201+ words) CMS published its 2027 Outpatient Prospective Payment System proposed rule last month. Most health systems are treating it as a routine reimbursement update. It deserves more attention than that. At a moment when health systems across the country are signing letters…...
Complete Health Partners Holdings $14M FCA Settlement: Medicare Advantage Risk-Adjustment Fraud
2+ week, 4+ day ago (272+ words) The National Law Review Medicare Advantage plans receive higher capitated payments from the federal government for beneficiaries with more serious diagnoses, thus, submitting codes that do not reflect a patient’s actual clinical condition inflates those payments without a corresponding medical…...
As 2027 Health Plan Renewals Are Reviewed, Limitless Consulting Launches Domestic Channel Review To Help Lower Costs
2+ week, 6+ day ago (232+ words) Top 10 highest cost medications addressed by the Pharmacy Stewardship Program®. It compares aggregate plan pricing against PSP® optimized pricing across actual 2025 and 2026 case studies. New domestic-only option within the Pharmacy Stewardship Program® helps self-funded employers and their consultants avoid unneccesary…...
DOL Seeks to Bring Group Health Plan Communications into the Digital Age
3+ week, 3+ day ago (598+ words) The National Law Review The U.S. Department of Labor (“DOL”) has proposed a new safe harbor option for group health plans to provide required disclosures electronically. Currently, many health plan notices are still delivered through paper mailings, which can be costly…...
Congressional Committees Advance Broad Health Care Legislation Before August Recess
3+ week, 3+ day ago (864+ words) The National Law Review - Congressional committees advanced an unusually broad package of bipartisan health care legislation before the August recess, with hospital price transparency emerging as the dominant policy theme. Multiple committees in both the House and Senate approved legislation…...
Connecticut Assisted Living Association Partners with Cyber Trust
3+ week, 5+ day ago (163+ words) Leaders in Cybersecurity Risk Assessment and Compliance Leading Senior Living Forward Partnership gives CALA members cybersecurity assessment resources and practical guidance to protect resident data, strengthen resilience, and reduce cyber risk. AUSTIN, TX, UNITED STATES, July 29, 2026 /EINPresswire.com/ -- The Connecticut…...
The Biggest Medicare Enrollment Mistakes Americans Make After Retirement, according to Houston Independent Insurance
3+ week, 5+ day ago (896+ words) Medicare Advisor in Houston Medicare Benefits After 65 Houston Independent Insurance shares common Medicare enrollment mistakes new retirees should avoid as healthcare costs and coverage options evolv This is an increasingly important question as health care prices rise, and recipients confront…...