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CMS blocks private sector enrollment sites from ACA marketplace
Federal regulators have blocked two private sector enrollment websites from accessing consumer information through the federal Affordable Care Act marketplace, with the Centers for Medicare and Medicaid Services citing “anomalous activity.”
CMS receive…
Radiology group paying $8.8M over False Claims Act violations
National Interventional Radiology Partners, based out of Houston, and its founder and CEO have agreed to pay $8.8 million to resolve Federal False Claims Act (FCA) and Anti-Kickback Statute violation allegations, according to the U.S. Attorney’s Office…
UnitedHealth considering purchase of Surgery Partners
UnitedHealth Group is one of several potential buyers of Surgery Partners, an operator of ambulatory surgical centers, and negotiations on a potential deal are still in the nascent phase, Bloomberg reported.
Ohio State launching AI app to record patient and physician conversations
After conducting a poll showing most Americans approve of artificial intelligence in healthcare, Ohio State Wexner Medical Center is launching an AI-driven application that helps clinicians draft clinical notes.
Medicare Advantage growth could be challenging for hospitals
The Medicare Advantage program recently achieved the milestone of covering more than half of all Medicare beneficiaries, but according to a report from S&P Global Ratings, this could have an adverse impact on hospital margins.
Texas sues over nursing home staffing rule
Texas Attorney General Ken Paxton has sued the Biden Administration to stop a new Centers for Medicare and Medicaid Services final rule that requires nursing home staffing standards.
Consumers more satisfied with Medicare Advantage than commercial plans
Even as the hospitals and health systems continue to battle with Medicare Advantage programs over reimbursement rates, customer satisfaction with MA plans is significantly higher than with commercial member health plans, according to the J.D. Power 202…
Walgreens, BARDA team to strengthen clinical trials
Walgreens is partnering with the Biomedical Advanced Research and Development Authority (BARDA) – part of the Administration for Strategic Preparedness and Response in the Department of Health and Human Services – to increase innovation in decentralize…
Employer health costs projected to rise 9%
The average cost of employer-sponsored healthcare coverage in the U.S. is expected to increase 9% next year, surpassing $16,000 per employee in 2025, according to a new Aon report.
This projected increase, which assumes employers do not implement emplo…
Humana to pay $90 million to settle allegedly fraudulent Part D bids
Insurer Humana has said it will pay $90 million to resolve a False Claims Act case alleging that the company submitted fraudulent bids to the Centers for Medicare and Medicaid Services to secure Part D prescription drug contracts between 2011 and 2017….
