Arbiters To Expand Surprise Billing Dispute Resolution Reviews, CMS Says

Surprise billing dispute arbiters will need to consider information in addition to median contracted rates for billed items or services, the Centers for Medicare and Medicaid Services said in revised guidance. Providers and health insurers can submit the following types of information to influence arbiters’ decisions on qualifying payment amounts: * Training, experience and quality ...

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FDA Grants Emergency Authorization For First COVID-19 Breathalyzer Test

Americans will be able to find out if they have COVID-19 with a breathalyzer test, the Food and Drug Administration announced Thursday. The FDA granted an emergency use authorization to a test produced by InspectIR Systems that collects a breath sample and analyzes for chemical compounds associated with the coronavirus, the first of its kind to ...

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ACA Marketplace Premiums Decline For Third Consecutive Year, Urban Institute Finds

Dive Brief: * The average premium for ACA marketplace coverage dipped 1.8% in 2022 compared with the prior year, an analysis from the Urban Institute, funded by the Robert Wood Johnson Foundation, found. * It’s the third consecutive year average ACA premiums declined, bucking the trend of sustained increases for job-based coverage, which provides insurance to a majority ...

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CMS Proposes Acute Hospitals Get 3.2% Pay Bump In 2023, Calls For Equity Quality Measures

The Biden administration is proposing that acute care hospitals get a 3.2% increase in payments for federal fiscal 2023 and to install new quality measures focused on health equity. The Centers for Medicare & Medicaid Services (CMS) released its proposed Inpatient Prospective Payment System (IPPS) rule and a separate rule for long-term care hospitals. The ...

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FEDERAL “NO SURPRISES ACT” HEALTH PLAN CHANGES – 2022 UPDATE

The federal Consolidated Appropriations Act (CAA) of 2021 brings significant changes to the American health care and health insurance industries – as well as many other changes to unrelated sectors.

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Nevada Health Insurance Exchange Gets New Director

Ryan High has been named the new director of the Silver State Health Insurance Exchange.

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DHHS Distributes More Than $43M To Support Behavioral Health Needs Throughout Nevada

The Department of Health and Human Services announces the distribution of more than $43 million to support behavioral health needs throughout Nevada, the group announced Friday.

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The New White House COVID Czar Calls For Calm As Cases Rise, Driven By BA.2

The U.S. should use this moment when coronavirus cases are relatively low to prepare for a "likely" surge in the future, according to an assessment from the new White House coronavirus response coordinator.

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Family Of Las Vegas Man Wins $200M Verdict Against Sierra Health

The family of a Las Vegas man who was denied health insurance coverage for a specific type of lung cancer treatment, then later died, has won a $200 million civil verdict against his health insurance provider, according to court records.

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Northern Nevada Sierra Medical Center Is Officially Open, Accepting Patients

Northern Nevada Sierra Medical Center officially opened Monday morning and is now accepting patients, the hospital announced.

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