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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

Feds Settle Huge Whistleblower Suit Over Medicare Advantage Fraud

One of the nation’s largest dialysis providers will pay $270 million to settle a whistleblower’s allegation that it helped Medicare Advantage insurance plans cheat the government for several years.

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Employees Spending More On Medical Services, Less On Drugs

Spending on medical services for people enrolled in employer-sponsored health plans increased 44% between 2007 and 2016, according to researchers from the Health Care Cost Institute (HCCI).

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Rising U.S. Healthcare Costs Could Hit Other Sectors of the Economy

The double whammy of rising healthcare costs and an aging population could cause a ripple of negative impacts across the U.S. economy.

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Blood, Sweat And Workplace Wellness: Where To Draw The Line On Incentives

Workplace wellness programs that offer employees a financial carrot for undergoing health screenings, sticking to exercise regimens or improving their cholesterol levels have long been controversial.

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Ruling On Health Care Subsidies Could Prove Costly for Government

A federal court ruled this month that a Montana insurer is entitled to federal compensation for subsidy payments under the Affordable Care Act that President Trump abruptly ended last October, a ruling that could reverberate through insurance markets and cost the government hundreds of millions of dollars.

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Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info

In the shadow of Silicon Valley, the hub of the world’s digital revolution, California officials still submit their records to the feds justifying billions in Medicaid spending the old-fashioned way: on paper.

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New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases.

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California Grapples With Growing Physician Shortage For Low-Income Patients

When Paul Lyons opened a primary-care practice in the Palm Springs area for low-income patients, the need was clear.

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More Than Half of Consumers Don’t Understand Basic Aspects of the Healthcare System, Survey Finds

Improving consumers’ healthcare literacy could save the U.S. healthcare system billions of dollars per year, according to a new analysis from Accenture.

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Three File Suit Against Dignity Health, Company That Runs Sierra Nevada Memorial Hospital

A lawsuit has been filed on behalf of three Dignity Health nurses claiming they were required to perform off-the-clock work and were subject to impermissible rounding of time entered on timecard software and an employee monitoring system hospital staff use to record hours worked.

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