Author: Carol White
The Department of Justice unveiled charges against 455 people, including 90 doctors and other licensed medical professionals, for their alleged participation in healthcare schemes that involved more than $6.5 billion in false claims and other patient harm. The charges were part of a two-week coordinated fraud takedown headed by the DOJ Criminal Division’s Health Care ...
U.S. healthcare spending is set to climb to $9 trillion by 2034, representing 20.6% of the economy, according to new federal data. The Centers for Medicare & Medicaid Services Office of the Actuary released on Wednesday its annual projections around national health spending. The actuaries said that total health spending in 2024 was $5.3 trillion, ...
Hospice administrators, clinicians and healthcare advocates gathered Wednesday to discuss a growing problem inside an industry meant to provide comfort at the end of life — and what providers say must change to protect patients. The meeting comes as Nevada and federal officials intensify efforts to crack down on suspected fraud within the hospice industry. ...
Enhanced ACA subsidies helped Marketplace enrollment grow from approximately 11.4 million individuals in 2020 to a record 24.3 million plan selections in 2025. As those subsidies expire, the Kaiser Family Foundation (“KFF”) estimates Marketplace enrollment could decline by approximately 4.8 million individuals. KFF also reports that average monthly premium payments for subsidized Marketplace enrollees increased from approximately ...
Sierra Medical Center has achieved Level III Neonatal Intensive Care Unit (NICU) designation from the State of Nevada, the highest level of neonatal care available in the region. This designation marks a significant milestone in Northern Nevada Health System’s commitment to expanding access to high-level compassionate care for growing families in the area. A Level ...
Shortages of several generic chemotherapy drugs are straining hospital supply chains and raising concerns that cancer centers may need to ration treatment for some patients, according to a June 24 New York Times report. Manufacturing problems, shipping delays and decisions by some companies to stop producing the medications have contributed to shortages of carboplatin, cisplatin, oxaliplatin and ...
Legislators this week approved a health tax bill meant to continue critical federal funding for the state’s Medicaid program, also known as Medi-Cal. Their approval comes despite warnings from health industry leaders that the tax, as designed, will raise premiums for privately insured Californians. New federal rules are forcing the state to restructure its managed ...
Officials in the administration of President Donald Trump want to change one of the foundations of the Affordable Care Act health insurance regulation framework. The Centers for Medicare & Medicaid Services is thinking about limiting a state’s ability to adjust its ACA essential health benefits package, or standard benefits package, to suit local needs. CMS ...
In a stunning reversal, Luigi Mangione ‘s lawyers told a judge Thursday that he will no longer be asserting a psychiatric defense at his state murder trial in the killing of UnitedHealthcare CEO Brian Thompson. The retraction came just a day after Mangione’s lawyers told Judge Gregory Carro that they planned to pursue a defense involving claims that ...
Starting in July, some Medicare beneficiaries will be able to access GLP-1 medications by paying one flat fee per month. The temporary program is set to run for a year-and-a-half through the end of 2027. But with less than two weeks before its launch, questions remain over how it will operate. The Medicare GLP-1 Bridge, described by the Centers for Medicare and Medicaid Services (CMS) as ...