Provider Groups Urge Feds To Change Dispute Process, Good Faith Estimates In Surprise Billing Rule

Provider groups are urging the Biden administration to walk back several provisions in a surprise billing rule, including requirements for providers to offer good-faith estimates to certain patients and what they deem a flawed process for determining out-of-network charges. Providers and payers submitted comments on the interim final rule released back in October. The rule ...

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Nevada Jury Says Health Insurer Undercut ER Reimbursements

A jury in Nevada has found one of the nation’s largest health insurers liable for underpaying millions of dollars to out-of-network emergency medical providers in what plaintiffs’ attorneys argued was a systematic bid to boost company profits.

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Vote Thursday Could Mean Higher Insurance Premiums For Unvaccinated State Workers

The 5,000 state employees and 1,400 university employees who are not vaccinated against COVID-19 could have to pay an additional $55 a month in their insurance plans as well as an additional $175 for unvaccinated dependents over the age of 18 to help recoup testing and hospitalization costs.

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Nevada Bracing For Inevitable Arrival Of First Omicron Case

Nevada health officials are bracing for the inevitable arrival of the omicron variant in the state after the first U.S. case was confirmed Wednesday in neighboring California.

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Survey: Many Employers Rolling Out Vaccine Mandates Despite Ongoing Legal Challenges

While the Biden administration's vaccine mandate remains in legal limbo, a new survey suggests many employers are rolling out such requirements anyway.

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Hospital Lobbying Against Medicare Cuts Intensifies

Dive Brief: * Hospital groups are kicking their lobbying up a notch as 2022 approaches, looking to fend off scheduled cuts to Medicare’s provider pay. * Major hospital lobbies sent a letter on Monday to congressional leaders urging them to extend the moratorium on Medicare sequester cuts, and prevent the pay-as-you-go sequester from taking effect. ...

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Democrats’ Bill Would Go Far Toward ‘Patching the Holes’ in Health Coverage

Of all the “bitter disappointments” he had as president, Harry Truman once wrote, the “one that has troubled me most, in a personal way,” was the failure to enact a national program that would assure all Americans “a full measure of opportunity to achieve and enjoy good health.” More than 75 years after Truman first ...

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Federal Judge Orders Nationwide Pause On CMS’ COVID-19 Vaccine Mandate For Healthcare Workers

A Louisiana federal court has granted 14 states’ bid for a preliminary injunction that not only halts a Centers for Medicare and Medicaid Services (CMS) rule requiring COVID-19 vaccination for healthcare workers in their own states but across the entire nation. In the memorandum ruling issued Tuesday, U.S. District Judge Terry A. Doughty wrote that ...

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