California Falls Short On Medi-Cal Fraud, State Report Says

The state has not investigated 26,000 of its 28,000 highest-risk Medi-Cal providers, the report says. Health officials dispute it.

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Three-Quarters Of Americans Disillusioned With Costs, Say Healthcare Is Defining Voting Issue

Three-quarters of Americans across party lines say healthcare will be one of the top three issues deciding their vote, finds a new survey. The People’s Health Care Survey, USofCare’s annual survey that captures people’s experiences with and challenges in healthcare, reached over 2,700 registered voters from June 12 through July 16. It was designed to be ...

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Marketers Sue CMS, HHS Over New Sales Freeze For Exchanges

The lawsuit alleges the agencies lack the authority to impose the freeze and violated the Administrative Procedure Act by skipping public comment. The trade group is seeking to vacate the interim rule and force CMS to immediately open sales training to new agents and brokers.

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After Booting 760K People From ACA Plans, Trump Administration Has Added Some Back

Late last month, the Trump administration announced that it had cut 760,000 people from the Affordable Care Act rolls, claiming fraud and improper enrollments and touting billions in potential taxpayer savings. Not all of those kicked off were fraudulently enrolled, KFF Health News has learned. Insurance industry sources said the Centers for Medicare & Medicaid ...

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Epic Teams Up With Amazon Pharmacy, LillyDirect And Mark Cuban To Launch Prescription Drug Pricing Tool

Epic is partnering with Amazon Pharmacy, Mark Cuban Cost Plus Drugs, Costco and Eli Lilly’s LillyDirect to develop a tool that lets clinicians and patients compare prescription drug prices. Through the prescription marketplace, slated to launch next summer, clinicians and patients at health systems using Epic will compare medication costs at different pharmacies—patients’ insurance prices ...

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Trump Administration Revamps Health Care Transparency Rules

Last week, the Trump administration revamped regulations intended to increase health care transparency. “Greater transparency drives competition, reduces price disparities and helps lower health care costs, a key priority for the Trump administration,” Dr. Mehmet Oz, administrator of the Centers for Medicare & Medicaid Services, said in a statement. At the heart of this rule ...

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