California Will Crack Down On Surprise Coronavirus Testing Fees Under New Law

Health insurers must cover the cost of coronavirus tests under a bill signed Friday by Gov. Gavin Newsom that ensures Californians do not have to pay out-of-pocket fees or contend with prior authorization requirements, which have left some consumers with surprise medical bills and bureaucratic headaches. Federal and state laws were passed during the pandemic ...

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Hospital Prices Vary Widely, Often Higher With Insurance Than Cash, The New York Times Finds

Private insurers sometimes negotiate rates on hospital services that are higher than the cash price, a recent New York Times investigation found, and the same basic service can cost widely varying amounts even at the same hospital. The Times surveyed 60 major hospitals that are complying with this year’s new Centers for Medicare & Medicaid Services (CMS) rule ...

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Ban On Negotiating Medicare Drug Prices Under Pressure

Donna Weiner looks at Medicare’s prescription drug program from two different points of view. As a participant, she wants to pay less for her medicines, which cost her about $6,000 a year. As a retired accountant who spent 50 years handling the books for companies, she sees a way to get there. “You know from working in ...

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The Public Backs Medicare Rx Price Negotiation Even After Hearing Both Sides’ Views

As Congress debates cutting prescription drug costs, a poll released Tuesday found the vast majority of adults — regardless of their political party or age — support letting the federal government negotiate drug prices for Medicare beneficiaries and those in private health insurance plans. The argument that pharmaceutical companies need to charge high prices to ...

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These Charts Show The Incredibly Stark Difference In COVID-19 Death Rates Between Vaccinated And Unvaccinated In California

Unvaccinated Californians were between 15 and 20 times more likely to die of COVID-19 than vaccinated ones when deaths from the disease most recently peaked at the start of September, according to state data. The California Department of Public Health publishes data on the vaccination status of people who test positive for coronavirus as well ...

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18 Ex-NBA Players Charged In $4M Health Care Fraud Scheme

Eighteen former NBA players were charged Thursday with pocketing about $2.5 million illegally by defrauding the league’s health and welfare benefit plan in a scam that authorities said involved claiming fictitious medical and dental expenses. “The defendants’ playbook involved fraud and deception,” U.S. Attorney Audrey Strauss told a news conference after FBI agents across the ...

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Democrats Dial Back Drug-Pricing Plans To Win Over Moderates

Leadership may drop efforts to have the government directly negotiate the prices for medicines in private insurance plans and make fewer drugs subject to negotiations in Medicare, among the changes under consideration.

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Telehealth Use Is Surging But Patient Satisfaction With The Service Has Declined, New Study Finds

As the use of telehealth has become more widespread, consumer satisfaction has fallen, according to a recent survey.

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Ban On ‘Surprise’ Medical Bills On Track For Jan. 1 Rollout

The Biden administration on Thursday put final touches on consumer protections against so-called “surprise” medical bills. The ban on charges that hit insured patients at some of life’s most vulnerable moments is on track to take effect Jan. 1, officials said.

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Democrats Weigh Health Care Provisions In $3.5 Trillion Bill

Democratic leaders struggling to satisfy both progressive and moderate factions’ demands are still trying to resolve divisions over scaling back the expansive health care policy wish list in their $3.5 trillion budget reconciliation package. A smattering of members in both chambers have concerns with key issues ranging from drug pricing to Medicare spending, while Democratic ...

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