A Food and Drug Administration advisory committee voted unanimously on Friday to approve emergency use authorization for a Pfizer vaccine booster shot individuals 65 years and older and individuals of any age at high risk of severe COVID-19.
The booste…
In an effort to expand health coverage and access, the Centers for Medicare and Medicaid Services is extending regular open enrollment by 30 days, which will now run from November 1 to January 15, 2022, giving consumers more time to review and choose h…
The vaccination program will kick off in New Jersey.
The Centers for Medicare and Medicaid Services has blocked four Medicare Advantage plans from enrolling new members in 2022 because they didn’t spend the minimum threshold on medical benefits, with three UnitedHealthcare plans and one Anthem plan faili…
The Centers for Medicare and Medicaid Services has announced that it will not take enforcement action against certain payers for the payer-to-payer data exchange provision of the May 2020 Interoperability and Patient Access final rule until future rule…
Pending approvals, the merger will form a 33-hospital system that employs 58,000 caregivers and provides insurance to roughly 1 million people.
Certain safety net hospitals are charging insurers an average of 3.8 times more than the acquisition costs for oncology drugs, although depending on the drug, the markup can be much higher — up to 11 times the purchase price, a new report has found.
A 30-year-old federal law is preventing many managed Medicaid plans from communicating with their members in the way most consumers prefer to get information: by text.
Aetna says it wrongly denied requests to cover fertility treatments for certain individuals and that it would rectify its mistake.
Insurer Independent Health and a subsidiary, DxID, are under fire from the U.S. Department of Justice for allegedly submitting unsupported diagnosis codes to inflate Medicare Advantage reimbursements.
The alleged violation of the federal False Claims A…
