Federal probes into UnitedHealth’s Medicare Advantage billing practices highlight potential increased regulatory oversight for clinical labs and changes to diagnostic data use in billing.
A coordinated firefighting response improves wildfire control while rising health insurance premiums intensify calls for expanded Medicare coverage, impacting insurance underwriting and risk assessment.
Crowell & Moring expands its healthcare litigation practice with 16 partners from Reed Smith, enhancing nationwide legal services across managed care and healthcare law.
CMS 2026 outpatient rule proposes major changes including inpatient-only list elimination and expanded ambulatory surgery center procedures, impacting Medicare payment and compliance.
Aetna implements a new inpatient reimbursement policy for Medicare Advantage plans to streamline payments and align with CMS two-midnight rule, effective Nov 15, 2023.
Medicaid funding cuts are driving closures of rural hospital obstetrics services, increasing travel distances and risks for maternal care. Explore how financial pressures and policy changes impact prenatal and delivery care access nationwide.
Colorado anticipates up to 110,000 individual health insurance exchange enrollees may lose coverage due to legislative changes and tax credit expirations, raising concerns about market and regulatory impacts.
Pennsylvania’s home health care agencies face staffing shortages and low Medicaid reimbursement rates amid a rising elderly population, prompting calls for increased state funding to sustain vital in-home services.
New studies reveal that insurance warning signs in healthcare settings may discourage patients from discussing health issues, affecting care quality and costs. Insights for providers on balancing cost transparency with patient communication.
Homeowners insurance premiums in the U.S. have increased by 10% due to rising replacement costs and more frequent extreme weather events. Explore strategies to mitigate rate hikes including bundling, weatherproofing, and deductible adjustments.
