Author: Scott Welch
The Biden administration on Monday released amended fees related to independent dispute resolution under the No Surprises Act. The Centers for Medicare & Medicaid Services had established initial fees, but the guidance was vacated by a Texas judge in a win for providers, forcing the agency to pause IDR. The independent dispute resolution approach is ...
While its merger with Humana may have fallen through for now, Cigna is attracting plenty of interest for the rumored sale of its Medicare Advantage business, Bloomberg reported. Sources close to the matter told the outlet that Health Care Service Corp. and Elevance Health are “competing” to scoop up the MA segment. Cigna is expecting ...
Milagro, a Peruvian immigrant in Riverside County, California, has had spotty access to health care in the two decades she’s been in this country. The 48-year-old, who works as the office manager at a nonprofit, can get emergency care through a narrow set of benefits the state makes available to immigrants without legal residency. And ...
Dear Gov. Newsom: Thanks for the new laws. Thanks for the new inspectors. Thanks, I guess, for trying, even a little. But — and isn’t there always a but? — it’s not working. And it’s maddening that the fraud and abuse still plaguing California’s addiction treatment industry aren’t being exposed by California’s regulators, or California’s attorney general, ...
In the thick of cold and flu season in the winter, U.S. death rates have ranged 8% to 12% higher than in warmer months, according to the Environmental Protection Agency (EPA). Given this higher risk, experts say it’s more important than ever for people to take care of their health. Jamie Winn, a South Carolina pharmacist and medical director ...
Hospitals and emergency rooms in California and across the nation may have to ration care by the end of the month, federal health authorities warned this week. Officials are particularly worried about an insufficient number of beds for children in pediatric hospitals and wards throughout the country as respiratory illnesses hit especially hard among Americans ...
A new actuarial study commissioned by an anti-public option organization says the Silver State’s public health insurance option law could exacerbate Nevada’s existing health care provider shortage and reduce access to care.
Nevada’s Open Enrollment Period began on November 1 and 14,570 Nevadans have already taken action to actively shop and enroll in plans in the first month.
Most insurer markets are highly concentrated, including many regions where a single payer dominates at least half of the market share, according to a new analysis from the American Medical Association. The AMA released an updated look at concentration in payer markets and found that across product lines, 73% of metropolitan statistical areas were highly concentrated in ...
The Nevada Division of Welfare and Supportive Services (DWSS) encourages people to update their address and complete the Medicaid renewal packet for their eligibility to be reviewed. Denials for procedural causes, like incomplete paperwork and incorrect address information, will start on Jan. 1, 2024, for renewal packets mailed in November. Only the individuals who received the ...