A health care advocacy group on Thursday sued the American Medical Association in an effort to get more transparency over the association’s billing codes, which guide billions of dollars in health care payments. PatientRightsAdvocate.org hopes to republish the codes online and allow the public to search them free. The group, which has pushed for health care ...
SCAN Health Plan and Costco will roll out insurance products for older adults in the coming years, according to an Aug. 18 news release. The Wall Street Journal reported that the companies would begin by selling jointly branded Medicare Advantage products in two states, as well as a Medicare supplement in a third state. While the geography was ...
The Pharmaceutical Care Management Association announced Thursday that its members had reached an agreement with the feds to offer information on cash prices available through TrumpRx. The commitment encompasses nine of the industry’s leading pharmacy benefit managers, including the “Big Three” in CVS’ Caremark, UnitedHealth Group’s Optum Rx and Cigna’s Express Scripts. Other participants that have signed ...
When Adam Zolot was ready to expand his paddleboard business into a warehouse-size space on San Francisco Bay, he wedged in one feature that was mostly just for himself: a sauna and cold plunge. An avid longtime traveler, Zolot had picked up his interest in saunas overseas – in the thermal springs of the Aeolian ...
“This story was originally published by CalMatters. Sign up for their newsletters.” Two years ago, California hit a milestone decades in the making: Nearly every person in the state qualified for health insurance, regardless of immigration status and income, pushing the state’s insured rate to a record 95%. Now that progress is unravelling. Facing budget ...
Employer health plans that pay out-of-network doctors or hospitals less than the providers billed now have to tell the providers exactly what plan is paying the bill. A plan that “downcodes” a claim must also give the provider some information about why it downcoded the claim. The new claim payment message requirements took effect last ...