News
Medicare Advisers Urge Payment Changes to Rein In Program Costs
18+ hour, 39+ min ago (96+ words) Bloomberg Law News A key Medicare panel that advises Congress issued a report Monday analyzing the financial health of the federal insurance program, outlining steps policymakers can take to ensure its continued viability. The Medicare Payment Advisory Commission focused much…...
CMS Seeks Input on Revisiting ACA's Essential Health Benefits
17+ hour, 41+ min ago (109+ words) Bloomberg Law News The Centers for Medicare and Medicaid Services is soliciting comments on whether it should alter requirements for essential health benefits, which are one of the most recognizable pillars of the Affordable Care Act. The agency said Friday…...
Northwestern Denied Quick Appeal in Health Plan Tier Challenge
4+ day, 1+ hour ago (121+ words) Bloomberg Law News Northwestern University can't immediately appeal a court ruling forcing it to defend allegations that its health plan wrongly offers a high-cost benefit tier that provides no extra benefits. The "novelty" of the allegations aren't enough to justify…...
Sen. Ron Wyden Previews Bipartisan Long-Term Care Initiatives
4+ week, 1+ day ago (123+ words) Bloomberg Law 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…...
NJ High Court Sides With Berkley Insurer in Pharma Fraud Dispute
1+ mon, 1+ day ago (118+ words) Bloomberg Law News A W. R. Berkley Corp. unit won a ruling from New Jersey's high court affirming the insurer is off the hook for a pharmaceutical company's legal costs in a dispute where a director was accused of engaging in wrongful…...
AI Reshapes Employer Group Health Plans for Fiduciaries'Pt 3
1+ mon, 5+ day ago (181+ words) AI is changing the practice of tax law. This series examines the ethical, legal, and practical implications of AI across key areas of tax practice. AI's ubiquity ensures that its use will run up against, and potentially collide with, any…...
AI Reshapes Employer Group Health Plans for Fiduciaries'Pt 1
1+ mon, 1+ week ago (230+ words) AI is changing the practice of tax law. This series examines the ethical, legal, and practical implications of AI across key areas of tax practice. Part 1 explains the rapid emergence of generative AI following the public release of Chat GPT…...
ANALYSIS: Efforts to Rein in Upcoding in MA Plans Gain Steam
1+ mon, 1+ week ago (100+ words) Bloomberg Law News Upcoding in Medicare Advantage (MA) plans has recently been targeted by both Congress and the executive branch, suggesting that the ongoing crackdown on the insurance practice is growing more varied and intense. In addition to a renewed…...
Health Insurers Move to Standardize Prior Authorization Process
1+ mon, 2+ week ago (105+ words) Bloomberg Law News Dozens of leading insurance companies announced Friday that they will adopt consistent standards for doctors submitting requests for prior approvals of common medical procedures such as CT scans and MRIs. AHIP, the nation's largest insurance industry trade…...
Mark Cuban Meets With House GOP on Health Care Costs, PBMs
1+ mon, 3+ week ago (114+ words) Bloomberg Law News House Budget Republicans met with "Shark Tank" mogul Mark Cuban Tuesday, where members say they discussed high health costs and possibilities for addressing them. "The focus was on the cost of care and how it's just unsustainable,…...