California Sues ‘Sharing Ministry’ Health Insurance Plan

California on Wednesday sued what the state's attorney general called a sham health insurance company operating as a “health care sharing ministry” — one the state claims illegally denied members benefits while retaining as much as 84% of their payments.

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California’s EDD Freezes 345,000 Disability Claims To Battle Fraud

EDD has frozen 345,000 claims for disability insurance because of "suspected organized criminal elements filing false (disability insurance) claims using stolen credentials of individuals and medical or health providers," it said in a statement Thursday.

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CMS Issued Over 300 Warnings, But No Fines, To Hospitals Falling Short On Price Transparency Last Year

After roughly a year of requiring hospitals to publicly post their prices, the top federal health regulator has delivered hundreds of warnings but has not yet seen fit to issue any civil monetary penalties. As of an early December tally, the Centers for Medicare & Medicaid Services (CMS) had issued roughly 335 warning notices to ...

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Here’s How to Get Your Free Home COVID Test Kits

Home COVID tests are now available at no cost to most Americans, as part of the Biden administration’s effort to increase testing around the United States. Folks can buy home tests online or in stores and be fully reimbursed by their private insurance, without any copays or deductibles. The White House also plans to distribute 1 ...

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Businesses React To Ruling Against Biden Vaccine Mandate

For companies that were waiting to hear from the U.S. Supreme Court before deciding whether to require vaccinations or regular coronavirus testing for workers, the next move is up to them. Many large corporations were silent on Thursday’s ruling by the high court to block a requirement that workers at businesses with at least 100 employees be ...

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Why The New Hospital Price Transparency Rules Miss The Mark

Intentions were good, but the new federal rules that were supposed to make hospital bills easier to figure out are instead doing little to help. Hospital prices and reimbursements have long been a riddle wrapped around a cipher. Why the same surgical procedure, aspirin, or IV vary so much in cost between facilities, health systems, ...

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Omicron’s Role in Ending Pandemic Still Unknown, Fauci Says

Even if enough people build natural immunity to Covid-19 by catching the highly contagious Omicron variant, Dr. Anthony S. Fauci said it is too soon to say if this will spell an end to the pandemic. On Monday, Dr. Fauci, President Biden’s top medical adviser for Covid, was asked at the online World Economic Forum ...

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MedPAC: Majority Of Medicare Beneficiaries To Be On MA By 2023, But Coding Issues Remain Rampant

Most Medicare beneficiaries in Parts A and B are expected to be enrolled in Medicare Advantage plans by next year, but spending on the plans is going to continue to outpace traditional fee-for-service, a congressional advisory panel found. The Medicare Payment Advisory Commission (MedPAC), a panel that makes recommendations to Congress on Medicare policy, released ...

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How Often Can You Safely Reuse Your KN95 Or N95 Mask?

Surging coronavirus cases in the United States, driven by the highly contagious omicron variant, have prompted renewed recommendations from health experts that the public should consider wearing more protective face coverings, such as N95 or KN95 masks. President Biden also said his administration is working on making such higher-quality masks more widely available. “Next week, we’ll announce how we are making ...

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Medicare Advantage Enrollment Soars Almost 9%

More than 28.5 million seniors and people with disabilities were enrolled in a private Medicare Advantage plan as of Jan. 1, an 8.8% increase from the same time in 2021, according to new federal data analyzed by Axios. Why it matters: Enrollment in the controversial MA program continues to grow, and based on prior full-year trends, enrollment in ...

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