2+ day, 4+ hour ago  (122+ words) Bloomberg Law News Out-of-network doctors are winning drastically higher arbitration payouts for planned procedures under a law protecting patients from unexpected emergency bills, according to data from insurer Elevance Health Inc. Over the last two years, median arbitration awards won…...

2+ day, 17+ hour ago  (94+ words) Bloomberg Law News The Trump administration announced a proposal to change dialysis services reimbursements under the Medicare program starting in 2027. A proposed rule (RIN 0938-AV81) released Wednesday by the Centers for Medicare & Medicaid Services seeks to revise the Medicare rates for…...

2+ week, 18+ hour 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…...

2+ week, 17+ hour 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…...

2+ week, 4+ day 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…...

1+ mon, 1+ week 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…...

1+ mon, 2+ week 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…...

1+ mon, 2+ week 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…...

1+ mon, 3+ 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…...

1+ mon, 3+ 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…...