smorse

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HHS calls on Congress to end surprise medical billing

A new report by HHS Secretary Alex Azar is calling for congressional action to combat surprise billing and to promote price transparency.

Pharma, biotech companies are in testing phase for a COVID-19 vaccine

Many Pfizer/BioNtech sites are in diverse communities that have been disproportionately affected by COVID-19.

Providers support Value in Health Care Act that amends MACRA payment model

Among other provisions, the bill extends the 5% advanced APM bonus for an additional six years and modifies thresholds to achieve the bonus. 

Appeals court upholds sale of short-term limited duration insurance plans 

The plans do not comply with the comprehensive benefits of the Affordable Care Act.

Appeals court sides with HHS on site neutral payments

The loss of hospital revenue due to the ruling is estimated at $800 million for 2020.

Former Kaiser CEO George Halvorson promotes universal healthcare through ‘Medical Advantage’ for all

Halvorson envisions an integrated system which unites healthcare payment, improvement and racial and economic equity. 

Class action lawsuit claims UnitedHealthcare diverts plan funds to settle unrelated disputes

UnitedHealthcare does not deny the practice and claims it makes healthcare more affordable.

Hospitalized care for COVID-19 averages $34,662 to $45,683, varying by age

Nationally, people aged 51 to 60 were charged the most, according to the FAIR Health study.

Trump Administration issues proposed rule to allow grandfathered plans to increase out-of-pocket costs

Currently, if grandfathered plans violate pricing rules, they lose their grandfathered status.

HHS is releasing over $4 billion in relief payments to safety net, rural hospitals

Approximately $115 billion of the $175 billion approved by Congress has been allocated.