News
While Washington Fights Over the Nation's Health, a New AI-First Advisory Puts the Fix, and Liability, on the CFO's Desk
4+ hour, 29+ min ago (431+ words) Paul H. Flowers Jr. Superior Insurance Advisors founder says executives who approve company health plans may already own the liability, and he is using AI to show them a way out. GARY, IN, UNITED STATES, June 30, 2026 /EINPresswire. com/ -- The country is…...
Court Orders CMS to Recalculate MA Star Ratings for Clover
2+ week, 5+ day ago (699+ words) Clover Health Decision Raises Significant Questions for CMS Star Ratings Framework The National Law Review On May 27, 2026, Judge Wood (S. D. Ga.) issued a summary judgment decision in Clover Ins. Co. v. Dep't of Health and Human Servs. , 2: 25-cv-00142 (S. D. Ga.) addressing the methodology used…...
PLEXIS Helps Health Plans Advance Prior Authorization Readiness with a Modern Core Administration Foundation
3+ week, 1+ day ago (137+ words) PLEXIS Healthcare Systems positioned as a major contender in the Everest PEAK Matrix As electronic prior auth and interoperability requirements reshape payer operations, payers need CAPS built for API connectivity, workflow, and automation. "Health plans need more than point solutions…...
Benefits1. Medicare from Simplify Healthcare" Powers More Than 30% of CMS PBP Submissions for the Eighth Consecutive Year
3+ week, 5+ day ago (174+ words) Powering over 30% of 2026 nationwide PBP submissions to CMS for the eighth consecutive year, Benefits1. Medicare continues to set the benchmark for accuracy, compliance, and speed in Medicare bid management'trusted by Payers for more than eight years. The 2026 Medicare Advantage bid cycle…...
Federal Healthcare Update for May 18, 2026
1+ mon, 1+ week ago (299+ words) Reconciliation and Health Hearings on the Pre-Recess Agenda [Podcast] The National Law Review Eyes are on the redrafting happening in the Senate after both sides met with the parliamentarian last week and heard her word on what meets the reconciliation…...
SPECTRA EXECUTES LARGE-SCALE MAILING FOR MEDICARE ADVISORY SERVICE
1+ mon, 3+ week ago (564+ words) The National Law Review The National Law Review uses cookies to track usage trends and patterns to better understand and improve our website. By using this website and/or clicking on any link on the website, you confirm your consent…...
Proposed Medicare Payment Policy Changes for Hospitals and Long-Term Care Hospitals
1+ mon, 3+ week ago (120+ words) The Centers for Medicare & Medicaid Services (CMS) recently published its proposed payment rules for general acute care hospital inpatient services and long-term care hospital (LTACH) inpatient services for federal fiscal year (FY 2027) (the Proposed Rule). Comments must be submitted by…...
CMS Issues a Proposed Rule Impacting Quality Reporting, Care Compare and MDS Requirements for Skilled Nursing Facilities
1+ mon, 4+ week ago (293+ words) The rule proposes a routine payment update and continued changes to reimbursement, SNF Quality Reporting Program (QRP) and public transparency requirements for SNFs. Key proposals include: CMS proposes to remove two COVID-19 vaccination measures from the SNF QRP beginning with…...
Highmark ACA, Medicare & Dental Contracting 2026 Now Available in DE, NY, PA, and WV Through FMO Bena Vest
2+ mon, 5+ day ago (396+ words) Bena Vest announces Highmark ACA, Medicare, and Dental contracting availability in DE, NY, PA, and WV for 2026. HOLLYWOOD, FL, UNITED STATES, March 4, 2026 /EINPresswire. com/ -- Bena Vest, a national Field Marketing Organization (FMO) specializing in ACA, Medicare, and ancillary insurance solutions,…...
Inga Ellzey Billing Companies Helps Dermatology Practices Navigate the 2026 CMS Medicare Update
2+ mon, 5+ day ago (233+ words) New resource shows the full impact of the 2026 Physician Fee Schedule changes and how dermatology practices can protect their revenue. CASSELBERRY, FL, UNITED STATES, March 2, 2026 /EINPresswire. com/ -- Inga Ellzey Billing Companies, the top-rated dermatology billing revenue cycle management company since…...