2+ day, 11+ hour ago  (268+ words) Aetna Health Inc. can't overturn a series of surprise billing losses to Radiology Partners Inc. because the insurer didn't challenge the doctor group's billing practices during arbitration, a federal judge ruled in what he said was a "close call." The…...

5+ day, 7+ hour ago  (79+ words) A woman who sued United Healthcare Insurance Co. for failing to fully cover a procedure related to an earlier weight-loss surgery won her appeal in the US Court of Appeals for the Ninth Circuit. Learn more about Bloomberg Law or…...

1+ week, 1+ day ago  (111+ words) Bloomberg Law News The Trump administration is seeking to increase Medicare reimbursement for outpatient services at acute care hospitals by 2. 4%, or $1. 4 billion in 2027, according to a proposed rule released Friday. The proposal (RIN 0938-AV79) from the Centers for Medicare & Medicaid Services…...

1+ week, 3+ day ago  (110+ words) Bloomberg Law News The Trump administration's increase of Medicare Advantage rates for next year from a smaller proposed boost will likely limit concerns that insurance companies would be forced to withdraw from the program, health analysts said. The Centers for…...

1+ week, 5+ day ago  (78+ words) Bloomberg Law News The US Medicare program will pay private insurers 2. 48% more in 2027, a meaningful improvement over the initial rates the agency proposed in January. Shares of major insurance companies jumped on the news in premarket trading on Tuesday, with…...

1+ week, 6+ day ago  (78+ words) Medicare Finalizes 2. 48% Rate Hike for Private Insurers in 2027 Bloomberg Law News The US Medicare program will pay private insurers 2. 48% more in 2027, a meaningful improvement over the initial rates the agency proposed in January. Shares of major insurance companies jumped on…...

2+ week, 2+ day ago  (122+ words) Bloomberg Law News The Trump administration proposed new transparency measures for hospices under Medicare amid a focus on fraud led by Centers for Medicare & Medicaid Services Administrator Mehmet Oz. The proposed rule (RIN 0938-AV78), released Thursday by the CMS, also includes…...

2+ week, 4+ day ago  (88+ words) Bloomberg Law News United Healthcare Services defeated a proposed class action alleging it disclosed the personal health information of website visitors to third parties in violation of state and federal privacy laws. Lead plaintiff Joanne Magliocca failed to allege a…...

2+ week, 5+ day ago  (97+ words) Bloomberg Law News Boston-based Zelis Healthcare LLC and large insurers including Aetna Inc. Humana Inc. , and Cigna Corp. failed to toss allegations that they colluded to push down reimbursements for providers" claims submitted for out-of-network services. The plaintiffs sufficiently alleged…...

2+ week, 5+ day ago  (122+ words) Bloomberg Law News An insurance policy exclusion for claims related to public offerings doesn't let Star Stone Specialty Insurance Co. off the hook for litigation against "smart window" maker View Operating Corp. following its 2021 de-SPAC merger transaction, a Delaware court…...