Medi-Cal Will Soon End Some People’s Benefits. What This Means For You

Since the COVID-19 pandemic began in earnest, low-income Californians who enrolled in Medi-Cal — California’s version of the government-funded Medicaid health insurance program — have been able to keep their coverage without having to prove every year that they still qualified for it. That’s because the Families First Coronavirus Response Act, which President Trump signed ...

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CMS To Raise Medicare Advantage Pay Rates By 3.3% In 2024; Phase In Risk Adjustment Changes

The Biden administration finalized a proposal to raise Medicare Advantage payments by 3.32% in 2024, slightly above the 1% raise that it proposed. The final payment rule released Friday comes after an intense lobbying campaign from insurers who claimed that the original advance notice released in February would amount to a cut to plans. The ...

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Are PBMs To Blame For The High Cost Of Prescription Drugs?

The two political parties cannot seem to agree on many things these days, but members of the Senate Finance Committee on Thursday agreed on a common enemy: Pharmacy benefit managers. This was the second committee hearing in two months to discuss PBM business practices. In February, the Senate Committee on Commerce, Science and Transportation approved the Pharmacy ...

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There’s Now Only One Official COVID Protocol Left In California — And It’s Unlikely To Change Soon

Beginning Monday, California will no longer require masks for COVID-19 prevention in health care settings — leaving isolation for those who test positive as the last vestige of the state’s formerly mandatory COVID rules. California lifted its COVID-19 state of emergency in February, nearly three years after it was put in place, and President Biden indicated last week he won’t ...

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Hospitals Likelier To Offer Discounts To Patients Who Pay Cash

Hospitals routinely charge less to patients who pay in cash and seek to recoup the difference from commercially insured patients in markets where they can exert leverage, according to a new Johns Hopkins study published in Health Affairs. Why it matters: The analysis for 70 services — drawn from data reported by 2,379 hospitals as of September 2022 ...

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UnitedHealthcare To Begin Reducing Prior Authorizations This Summer

Prior authorization has been a continual source of frustration for providers, and Wednesday UnitedHealthcare, the country’s largest insurer, said it will offer some relief. The payer giant will cut nearly 20% of its current prior authorizations, according to a new release, in a bid to simplify the process for both providers and its members. UnitedHealth will ...

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U.S. Social Security Fund Seen Depleted 2033, Year Earlier Than Previous Estimate

The U.S. Social Security system’s main trust fund’s reserves will be depleted in 2033, one year earlier than estimated last year, while Medicare’s finances have improved slightly, reports from the programs’ trustees showed on Friday. The Medicare Hospital Trust Fund reserves are now expected to be depleted in 2031 compared to an estimate of 2028 ...

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Fight Over Pay For L.A. Hospital Execs Could Hinge On What President Biden Makes

Should Los Angeles clamp down on how much hospital executives are paid? That decision could be put to Los Angeles city voters, under a ballot measure supported by a union representing healthcare workers. But whether that happens may hinge on another question: How much does the president of the United States make? The California Hospital Assn. has ...

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Which Diets Really Raise Your Life Span? Two Come Out on Top

People at risk of heart disease could extend their lives by going Mediterranean or low-fat, according to a new analysis of popular diets. In the world of nutrition and disease, dietary fat is an often confusing subject. And in general, experts say, recent years have seen a move away from prescribing a strict amount of ...

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