For Young Californians, more health insurance does not mean better health care

, January 19, 2024
Payer

In coverage for key areas including immunizations, mental health and well-child visits, insurers fail to deliver for those 26 and younger.

Jefferson looks to turbocharge its health insurance arm with proposed Lehigh Valley Health Network deal

, January 19, 2024
Payer

If Thomas Jefferson University completes its acquisition of Lehigh Valley Health Network, it will have a new platform for the expansion of Jefferson Health Plans.

Employers are struggling to figure out if they're overpaying for health care

, January 18, 2024
Payer

Employers are facing stronger legal requirements to ensure they aren't wasting their workers' money on overpriced health insurance, at the growing risk of financial consequences.

Health insurers must streamline prior authorization decisions, new rule says

, January 18, 2024
Payer

The Biden administration on Wednesday finalized requirements to streamline the process for doctors and patients seeking health insurance approval for medical care and treatments.

CMS proposes to prohibit overrides in Medicare Advantage

, January 17, 2024
Payer

CMS issued a proposed rule regarding Contract Year 2025 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs.

Asante pays $430K to settle Medicare fraud allegations

, January 17, 2024
Payer

Asante Health System and Dr. Charles Carmeci have paid $430,000 to settle allegations of Medicare fraud allegations.

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