Author: Scott Welch
President Biden has come closer than any of his Democratic predecessors to reaching the party's long-standing goal of universal health coverage, but unaffordable care costs may overshadow the achievement.
Medicare Advantage plans have come under fire for upcoding that can increase the payouts they receive, and regulators point to health risk assessments as a likely culprit in this increase in coding intensity.
The gap between insurance plans and Medicare's payments to hospitals for inpatient and outpatient services widened over the course of just a couple of years, a new study from RAND Corporation finds.
Public health leaders raised alarm at proposed cuts to California’s state and local health departments Monday, calling the proposal from Gov. Gavin Newsom “devastating” and “a step backwards.”
An emerging legal battle over workplace health insurance could empower employees to fight back against high costs and put new pressure on their employers. Why it matters: Workers fed up with rising health care costs, which also eat into their wages, are filing lawsuits aiming to hold employers accountable for cutting what they say are bad deals with firms ...
Next year, the new limits for health savings accounts and high-deductible health plans are a slight bump, following 2024's largest-ever increase to the amount employees can set aside in their accounts.
Employers trying to rein in rising health costs are also taking the fight directly to health care providers. Why it matters: New transparency around the price of health care services and workers’ mounting frustration with costs are emboldening some employers to get tough in negotiations with hospitals and provider groups. “We can improve quality and can make health care more ...
The U.S. Department of Justice (DOJ) announced Thursday it has established a new task force to take on healthcare monopolies and collusion. The task force, called HCMC for short, will guide the division’s enforcement strategy and policy approach in healthcare, including by facilitating policy advocacy, investigations and, where warranted, civil and criminal enforcement in healthcare ...
Some of the most influential and wealthy groups in California politics are squaring off over legislation that would give California’s attorney general oversight of private equity firms and hedge funds acquiring major health care institutions.
For much of his young life, Jorge Sanchez regularly gasped for air, at times coughing so violently that he’d almost throw up. His mother whisked him to the emergency room late at night and slept with him to make sure he didn’t stop breathing. “He’s had these problems since he was born, and I couldn’t ...