What’s Next On The No Surprises Act

The No Surprises Act may have shielded patients from unexpected medical bills, but it's left a bureaucratic mess, with providers and insurers fighting over who'll cover the costs and Congress weighing whether to step back in.

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Consumers More Satisfied With Traditional Plans Than High-Deductible Plans, Research Finds

Consumers with high-deductible health plans are not as satisfied with their coverage as those with traditional plans. Two-thirds of traditional plan enrollees were extremely or very satisfied with their overall health plan, compared with just more than half of HDHP enrollees, the EBRI/Greenwald Research Consumer Engagement in Health Care Survey found.

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Health Spending Rebounded In 2021 After Pandemic-Driven Declines: HCCI

Healthcare spending declined dramatically in 2020 thanks to the COVID-19 pandemic, but expenditures rebounded the following year, according to new data from the Health Care Cost Institute.

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Gov. Newsom Sends National Guard And CHP To Tackle San Francisco’s Fentanyl Crisis

California Gov. Gavin Newsom is directing the California Highway Patrol and National Guard to assist San Francisco authorities in combating the fentanyl crisis in the city. The two agencies will be partnering with the local police department and the district attorney's office to attempt to stem trafficking of the deadly synthetic opioid.

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Attempts To Scam Medicaid Members Popping Up Nationwide As Unwinding Commences

Compounding the already unprecedented scale and scope of the national effort to conduct eligibility checks for all 91 million Americans who have Medicaid as their health insurer, Medicaid agencies and their leaders were hit with a new challenge. The scammers and bad actors have seized on this as a way to make a quick buck ...

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Sanders, Cassidy Reach Deal To Increase Access To Generic Prescription Drugs, Reform PBMs

Sens. Bernie Sanders, I-Vermont, and Bill Cassidy, R-Louisiana, reached a deal on new legislation that aims to increase access to generic drugs and impose transparency measures on pharmacy middlemen. The two senators, the new leaders of the powerful Senate Committee on Health, Education, Labor and Pensions (HELP), said the legislative package will “reform pharmacy benefit managers and expand ...

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FAQs About The Inflation Reduction Act’s Medicare Drug Price Negotiation Program

The Inflation Reduction Act of 2022 (the Act), signed into law by President Biden in August 2022, includes several provisions to lower prescription drug costs for people with Medicare and reduce drug spending by the federal government. One of the Act’s key drug-related policies is a requirement for the Secretary of Health and Human Services (HHS) to negotiate prices ...

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F.D.A. Authorizes Another COVID Booster Shot for People Over 65

The News The Food and Drug Administration on Tuesday authorized an additional round of bivalent booster shots for adults who are 65 and over as well as people with compromised immune systems. The effort is to ensure ongoing protection against Covid, which is still claiming more than 1,300 lives each week. The bivalent shots target ...

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Justice Department Announces Nationwide Coordinated Law Enforcement Action to Combat COVID-19 Health Care Fraud

The Department of Justice today announced criminal charges against 18 defendants in nine federal districts across the United States for their alleged participation in various fraud schemes involving health care services that exploited the COVID-19 pandemic and allegedly resulted in over $490 million in COVID-19 related false billings to federal programs and theft from federally ...

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Big Changes Proposed For State Board That Investigates Doctors; Patient Notification Still Not On The List

The Medical Board of California may soon get a significant boost to its enforcement powers, but some are already saying that proposed changes do not go far enough. On a unanimous vote Monday, the state Senate Committee on Business, Professions and Economic Development approved a “sunset review” bill that would allow the board to continue ...

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