Hospitals That Pursue Patients For Unpaid Bills Will Have To Tell L.A. County

Hospitals must promptly report to the Los Angeles County Department of Public Health every time they try to collect medical debt from patients, under an ordinance backed Tuesday by county supervisors. The ordinance, which requires a second vote to be adopted, requires hospitals to tell the county within a month or two of initiating debt ...

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Republicans Challenge CMS Premium Stabilization Program Legality

Leading Republicans are looking toward the Government Accountability Office (GAO) to ensure CMS’ new premium stabilization demonstration program is legal and in the best interest of seniors. In a recent letter written by House Energy and Commerce Committee Chair Cathy McMorris Rodgers, R-WA, Senate Finance Committee Ranking Member Mike Crapo, R-ID, and House Ways and ...

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Contra Costa County Health Dept. Recommends Masks In Crowded Indoors As COVID Cases Rise

The Contra Costa County health department on Tuesday recommended people wear masks in crowded indoor settings as COVID-19 infections increase throughout the Bay Area. The department said masking is particularly important for those at high risk of serious illness if infected. However, the department also stressed that it is a recommendation, not a health order, ...

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Patients Phoning For Medi-Cal Help Are Hit With Hourlong Waits, Disconnections, Audit Finds

When Californians phone for help with their Medicaid coverage, they routinely face waits of nearly an hour — and are regularly disconnected without reaching anyone, researchers found in a newly released analysis. An audit released Wednesday by the Children’s Partnership, an advocacy group focused on child health, found the average wait when researchers phoned in ...

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More Than Half Of US States Reporting ‘Very High’ COVID Activity Levels: CDC

More than half of U.S. states are reporting “very high” levels of COVID activity as the virus continues to spread and increase in many parts of the country, according to the latest wastewater data from the Centers for Disease Control and Prevention. At least 27 states are reporting “very high” levels and 17 states are reporting “high” ...

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Regular Aspirin Use May Help Lower Risk Of Colorectal Cancer, Study Finds, Especially For Those With Unhealthy Lifestyles

Regular aspirin use may keep the oncologist away, at least when it comes to colorectal cancer, according to a new study, and people with unhealthy lifestyles seemed to see the greatest benefit. Colorectal cancer is the second most common cause of cancer death worldwide, predicted to cause more than 52,500 deaths in the US alone in ...

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How Little Denmark Got Homegrown Giant Novo Nordisk To Lower Ozempic Prices

On May 13, Sen. Bernie Sanders (I-Vt.) published an open letter to Novo Nordisk on the front page of a leading Danish newspaper, urging the hometown company to live up to its altruistic standards by lowering U.S. prices for its blockbuster diabetes and weight loss drugs. What Sanders didn’t realize was that Denmark, a country ...

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Appeals Court Upholds Ruling That Struck Down Surprise Billing Arbitration Process

The Fifth Circuit Court's ruling, which was filed late last week, confirms a February 2023 decision from the court in the Eastern District of Texas, vacating arbitration methodology set by the Centers for Medicare & Medicaid Services (CMS).

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CMS Announces New ‘Premium Stabilization’ Program

The Centers for Medicare & Medicaid Services (CMS) is creating a voluntary demonstration program to support changes to Medicare Part D under the Inflation Reduction Act (IRA). The agency also finalized bid information for contract year 2025, with a base beneficiary premium increase of $2.08 for people with Part D. The IRA is designed to ...

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California Made Capitation Payments for Enrollees Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Another State

Why OIG Did This Audit California pays managed care organizations to make services available to eligible Medicaid enrollees in return for a monthly fixed payment (capitation payment) for each enrollee. Previous OIG audits found that State Medicaid agencies made capitation payments on behalf of enrollees who were residing and enrolled in Medicaid in another State. ...

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