Court Rules Texas Hospitals Must Exhaust Medicare Appeals Before Suing Over Payment Disputes

The Fifth Circuit Court ruled Texas hospitals must complete Medicare's administrative appeal process before filing lawsuits over payment disputes, reversing a lower court decision on HHS payment restrictions.

Senator Supports Medicare for All Amid Rising U.S. Health Care Costs

Senator Chris Van Hollen advocates for Medicare for All to address rising health insurance costs, improve care access, and reduce U.S. health care spending by $450 billion annually.

Medicare Advantage Plans Exit Vermont, 50,000 Enrollees Seek Alternatives

Medicare Advantage plans are leaving Vermont next year, affecting 50,000 enrollees who must find alternative coverage by year-end due to federal policy changes.

Study Reveals Medicaid Spend-Down Trends Among U.S. Nursing Home Residents

New study analyzes Medicaid enrollment trends among U.S. nursing home residents, highlighting financial burdens, racial disparities, and implications for Medicaid sustainability in long-term care financing.

Minnesota Medicaid Fraud Crackdown Threatens Disability Support Services

Minnesota's intensified Medicaid fraud audits target programs aiding disabled individuals, risking funding pauses and impacting home health services amid efforts to safeguard taxpayer resources.

Legal Action Against eHealth, Inc. Highlights Compliance Issues in Health Insurance

Overview of legal proceedings against eHealth, Inc. under qui tam claims highlighting compliance and regulatory concerns in the health insurance industry.

CMS Administrator Dr. Mehmet Oz Advises Federal Staff on Holiday Portion Control

CMS Administrator Dr. Mehmet Oz provides holiday season health and portion control advice to CMS employees to promote wellness during federal insurance program administration.

Vermont Health Insurance Enrollment Faces Complexity with Premium Hikes and Medicare Advantage Changes

Rising premiums, reduced subsidies, and Medicare Advantage exits complicate Vermont's health insurance enrollment. Officials urge early action and provide enrollment resources.

Suzanne McCarthy's Legacy in Arkansas Public Health and Policy Reform

Learn about Suzanne McCarthy's impact on Arkansas public health through her leadership in major health initiatives and reforms with ACHI.

CMS Updates 2024 Therapy Code List for Medicare Billing

CMS updates the annual therapy code list for Medicare, affecting billing practices for therapists, physicians, and other providers reimbursed through Medicare Administrative Contractors.