New York City loses Medicare Advantage appeal
(By Rylee Wilson for Becker’s Hospital Review) New York City must pay for the cost of any plan it offers
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Legal Actions/Court Decisions
How a Duty To Spend Wisely on Worker Benefits Could Loosen PBMs’ Grip on Drug Prices
(By Arthur Allen for KFF Health News) Ann Lewandowski knows all about pharmacy benefit managers, or PBMs, the companies that
Read MoreAnother system faces lawsuit over patient information allegedly shared with Facebook
(By Mariah Taylor for Becker’s Hospital Review) Philadelphia-based Jefferson Health is the latest system to face a class action lawsuit
Read MoreCMS ups UnitedHealth, Centene star ratings after court challenges
(By Rylee Wilson for Becker’s Hospital Review) CMS has updated the star ratings for some UnitedHealthcare and Centene Medicare Advantage
Read MoreJustice Department sues UnitedHealth over Amedisys deal
(By Jakob Emerson for Becker’s Hospital Review) The U.S. Justice Department has sued UnitedHealth Group over its planned purchase of
Read MoreMisleading Ads Play Key Role in Schemes to Gin Up Unauthorized ACA Sign-Ups, Lawsuit Alleges
(By Julie Appleby for KFF Health News) The government is giving away money! So say ads on a variety of
Read MoreCourt keeps ACA preventive care mandate in place
(By Rylee Wilson for Becker’s Hospital Review) A federal court kept the ACA preventive care mandate in place for now
Read MoreCMS to recalculate Medicare Advantage star ratings: Report
(By Rylee Wilson for Becker’s Hospital Review) CMS will recalculate star ratings for Medicare Advantage plans after insurers challenging the
Read MoreSCAN beats CMS in Medicare Advantage star ratings lawsuit
(By Jakob Emerson for Becker’s Hospital Review) SCAN Health Plan has won its lawsuit against CMS that claimed the agency
Read MoreHealth Subcommittee Chairman Buchanan – Hearing on the Collapse of Private Practice: Examining the Challenges Facing Independent Medicine
“Compared to three decades ago, there are 30 percent fewer physicians in private practice…A thriving health care ecosystem should include
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