Congressman Seeks to Plug ‘Shocking Loophole’ Exposed by KHN Investigation

A U.S. lawmaker is taking action after a KHN investigation exposed weaknesses in the federal system meant to stop repeat Medicare and Medicaid fraud and abuse. Rep. Lloyd Doggett (D-Texas) said he decided to introduce a bill in the House late last week after KHN’s reporting revealed what he called a “shocking loophole.” “The ability of fraudsters ...

Read More

U.S. Drops Appeal Of UnitedHealth Acquisition Of Change Healthcare

The U.S. Justice Department has dismissed its own appeal challenging UnitedHealth Group’s (UNH.N) nearly $8 billion acquisition last year of Change Healthcare, a court filing showed. The healthcare deal was seen as a blow to the Biden administration’s tougher enforcement of antitrust issues. The Justice Department had argued the deal would give UnitedHealth, the largest U.S. health ...

Read More

Prescription for Housing? California Wants Medicaid to Cover 6 Months of Rent

Gov. Gavin Newsom, whose administration is struggling to contain a worsening homelessness crisis despite record spending, is trying something bold: tapping federal health care funding to cover rent for homeless people and those at risk of losing their housing. States are barred from using federal Medicaid dollars to pay directly for rent, but California’s governor is ...

Read More

End of Covid Emergency Will Usher in Changes Across the US Health System

The Biden administration’s decision to end the covid-19 public health emergency in May will institute sweeping changes across the health care system that go far beyond many people having to pay more for covid tests. In response to the pandemic, the federal government in 2020 suspended many of its rules on how care is delivered. That transformed ...

Read More

Providers Want CMS To Create New Payment Methods To Boost Primary Care

A collection of nearly 30 provider groups wants the Biden administration to combine fee-for-service and prospective payments to primary care doctors to bolster the workforce. The groups wrote a letter to officials with the (PDF) Centers for Medicare & Medicaid Services (CMS) on the need for such a hybrid payment model. The missive comes as CMS has ...

Read More

California’s COVID Battle Hits Another Promising Milestone

California has hit another major milestone in its fight against COVID-19, with all of the state’s residents now living in areas with a “low” community transmission level for the first time since last fall. This puts California’s 58 counties in line with approximately 93% of others across the U.S. that meet the Centers for Disease Control ...

Read More
arrowcaret-downclosefacebook-squarehamburgerinstagram-squarelinkedin-squarepauseplaytwitter-squareyoutube-square