An audit finds $7.8M in federal funds were claimed for enrollees who were incorrectly assigned to eligibility groups.
Category: Health Insurance
HHS announces 54 drugs subject to rebates and lower coinsurance
The rebates paid by drug companies will be deposited into the Medicare Trust Fund.
Claims denials on the rise, complicating revenue collection, survey finds
Healthcare claims processing is rife with inefficiencies and financial strains marked by operational bottlenecks, rising denial rates and increasing administrative burdens faced by providers, according to the new State of Claims 2024 report from Experi…
The Medicare Advantage Influence Machine
New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges.
How drivers of health screenings led to immediate patient impact and practice sustainability
Recently, an elderly patient at my practice unexpectedly began to miss her monthly appointments. I was alarmed. The patient has atrial fibrillation—a condition characterized by irregular heart rhythms and an increased risk of stroke. The condition dema…
Average premiums for Medicare Advantage, Medicare Part D to decrease, CMS says
The lower MA premiums are expected to drive enrollment to 35.7 million by 2025 – about 51% of all Medicare beneficiaries.
Free COVID-19 tests are now available
The Department of Health and Human Services’ Administration for Strategic Preparedness and Response (ASPR) and the U.S. Postal Service are once again offering free COVID-19 tests.
Four tests at no cost are now available through COVIDtests.gov.
New legislation seeks to make ACA premium tax credits permanent
The initiative arrives as the temporary expansion of tax credits is set to expire after 2025.
Generative AI being used to develop antimicrobial resistant antibiotics
The Department of Health and Human Services has announced funding for antibiotic research and development using Generative AI.
The stop Emerging Threats (TARGET), through the Advanced Research Projects Agency for Health (ARPA-H), will use genAI to spee…
OIG: Remote patient monitoring in Medicare increasing
OIG identified systemic issues that impair Medicaid’s ability to root out fraudulent activities and offered several recommendations.
