Surprise Billing Disputes Continue To Far Outpace Federal Estimates: CMS

The number of balance billing disputes reaching arbitration is far higher than federal projections suggested, according to new data from the Biden administration. The Centers for Medicare & Medicaid Services (CMS) issued a report this week looking at the number of surprising billing negotiations that reached the independent dispute resolution (IDR) phase of the No ...

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Artificial Intelligence Is Making Critical Health Care Decisions. The Sheriff Is MIA.

Doctors are already using unregulated artificial intelligence tools such as note-taking virtual assistants and predictive software that helps them diagnose and treat diseases. Government has slow-walked regulation of the fast-moving technology because the funding and staffing challenges facing agencies like the Food and Drug Administration in writing and enforcing rules are so vast. It’s unlikely ...

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Do I Really Need An Annual Physical?

Is your annual physical a waste of time? A growing number of physicians say the value of a yearly physical depends in part on your age and health history, and that some young, healthy patients can afford to skip it. Some studies have suggested that the annual visits aren’t doing much to improve our long-term ...

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Nevada State Senator Files Suit To Scuttle Public Health Care Insurance Option

Nevada State Sen. Robin Titus, R-Wellington, along with the National Taxpayers Union, filed a lawsuit over the constitutionality of legislation passed to bring a state-managed public health care insurance option to Nevada. The suit was filed in Nevada’s First Judicial District Court in January challenging Senate Bill 420, passed during the 2021 legislative session. “My ...

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HHS, FTC Want To Know If GPOs, Drug Wholesalers Are Fueling Generic Drug Shortages

The Biden administration is taking a look at how group purchasing organizations (GPOs) and drug wholesalers are playing a role in generic drug shortages. In a Request for Information jointly issued Wednesday, the Federal Trade Commission (FTC) and the Department of Health and Human Services (HHS) said they want to learn more about the organizations’ ...

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More Than Half of Californians Skip or Delay Medical Care Due to Cost

Californians have been absolutely hammered by insurers and providers over the past 20 years. As a result, many of the state’s residents either don’t use their health coverage even though they need it, or they go into debt trying to pay for the insurance and the medical costs their plans don’t cover.

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