Insurer Price Transparency Rule: What Has Been Disclosed?

To improve the accessibility of price information for commercial health care consumers and other stakeholders, the departments of Health and Human Services, Labor, and Treasury implemented the Transparency in Coverage Final Rule (hereafter, the Insurer Price Transparency Rule) in October 2020. The rule has two key provisions for all insurers offering individual and group commercial health insurance ...

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CMS Proposes Small Hike To Medicare Advantage, Part D Plan Payments In 2024 Amid Risk Adjustment Changes

The Biden administration is proposing to increase Medicare Advantage (MA) and Part D plan payments by 1.03% for 2024 amid other changes to the programs’ risk adjustment model. The Centers for Medicare & Medicaid Services (CMS) released the advance notice of methodological changes for MA capitation rates and payment policies for MA and Part D. ...

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CVS Health Goes Live With Virtual Care Service With A Focus On Primary Care, Mental Health

As part of its new virtual primary care service, CVS Health is expanding telehealth-based mental health care to include appointments with licensed therapists and psychiatrists. The retail drugstore giant announced its virtual care offering last May to give consumers access to primary care, on-demand care, chronic condition management and mental health services. CVS executives say the virtual primary care offering is ...

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These Benefits Will Disappear When Biden Ends The Covid National And Public Health Emergencies In May

President Joe Biden intends to end the Covid-19 national and public health emergencies on May 11, the White House said Monday. That means that many Americans could have to start paying for Covid-19 testing and treatment after the declarations cease.

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California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

California’s decision last month to cancel the results of a long-planned bidding competition among commercial health plans in its Medicaid program has some industry insiders and consumer advocates wondering whether the state can stand up to insurers and force improvements in care for millions of low-income beneficiaries.

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McCarthy: ‘We won’t touch Medicare or Social Security’

Speaker Kevin McCarthy (R-Calif.) said on Thursday that House Republicans will not target Medicare or Social Security in their negotiations over the debt ceiling.

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