Justice Department Seeks Stay on Parts of ACA Preventive Services Ruling

The Department of Justice (DOJ) wants a federal judge to ensure that preventive care coverage requirements in the Affordable Care Act (ACA) remain available while it appeals a ruling striking the provisions down. The DOJ filed on Wednesday a request with the U.S. District Court for the Northern District of Texas for a partial stay ...

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Express Scripts Launches New Solutions To Advance Drug Price Transparency

As pharmacy benefit managers (PBMs) face more scrutiny about their practices and rising drug costs, Express Scripts unveiled new solutions last week that aim to improve price transparency and drive down costs. St. Louis-based Express Scripts is the PBM business of Evernorth, a subsidiary of Cigna. One of its new solutions is called the Copay Assurance Plan, which will ...

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UnitedHealth Expects Medicare Membership Gains to Boost 2023 Profit

UnitedHealth Group beat Wall Street targets for quarterly profit and raised its annual forecast on Friday, as the healthcare giant banks on membership growth in its federal government-backed health insurance plans. UnitedHealth is among the largest players in the Medicare Advantage market, where private insurers offer an alternative to the original Medicare – the federal government’s ...

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Shady COVID Street Testing Sites, Offering $5 Cash Per Test, Appear Unlicensed

A slew of very informal-looking COVID-19 testing sites, paying passersby $5 a pop for taking a COVID test, is drawing another round of scrutiny for their lack of licensed staff and apparent flouting of public health protocols. Among the slew of maybe- or maybe-not permitted vending booths crowding the sidewalks of 24th and Mission Streets, in recent ...

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Millions Expected to Lose Dental Care Coverage After Medicaid Review

More than 14 million adults across the United States who receive Medicaid are at risk of losing dental health coverage now that the Covid public health emergency is over, according to data exclusively obtained by NBC News. The public health emergency ended April 1, allowing states to review Medicaid recipients’ eligibility and disenroll them from the ...

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Fitch Ratings Says Medicaid Disenrollment Will Pinch Revenue for Not-For-Profit Hospitals

Gary Sokolow, a director in Fitch Ratings’ public finance healthcare group, told Fierce Healthcare that nonprofit hospitals didn’t have to worry for the past three years about taking care of patients showing up in their emergency rooms because many of those patients were either Medicaid beneficiaries or could be automatically enrolled in the program while the eligibility ...

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The Biden Administration Will Hang on to Some COVID Pandemic Emergency Powers

Even though the Biden administration is ending its highest-profile Covid-19 emergency declaration next month, it’s still going to hold on to some pandemic-era powers. The Department of Health and Human Services gave governors a heads-up on Friday that it is planning to keep pharmacists’ ability to administer Covid-19 and flu vaccines past the end of ...

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About 800,000 Nurses Planning to Leave the Profession by 2027, Data Show

Nearly 100,000 registered nurses were estimated to have left the field during the COVID-19 pandemic and almost 800,000 intend to follow them out by 2027, according to a survey analysis released Thursday by the National Council of State Boards of Nursing (NCSBN). Responses to the poll of more than 50,000 nurses suggest a net nursing ...

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Electronic Health Records Rule Sets Up “Bridge to Nowhere” Insurers Say

A Biden administration effort stemming from the 21st Century Cures Act to make health data sharing more transparent is facing pushback from health insurers. Why it matters: The rule from the Office of the National Coordinator for Health Information Technology aims to get providers and payers to share patient health information in a more seamless way. But health ...

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Employers Should Review Common Severance Agreement Terms Due to New NLRB Decision

Historically, employers have routinely included confidentiality and non-disparagement provisions in severance agreements with departing employees. Such provisions can be important for protecting sensitive personnel data or proprietary business information from disclosure. But in light of a recent National Labor Relations Board (NLRB) decision, employers in both unionized and non-union workplaces should review their agreements and consider ...

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