36% of hospitals complying with price transparency rule, survey finds
(By Alan Condon for Becker’s Hospital Review) A PatientRightsAdvocate.org report published July 20 found that only 721 (36 percent) of
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Health Care Finance
5 Medicare Advantage plans audited for upcoding in 2023
(By Rylee Wilson for Becker’s Hospital Review) Audits from HHS’ Office of Inspector General published in the first half of
Read MoreMedical Debt Is Making Americans Angry. Doctors and Hospitals Ignore This at Their Peril
(By Noam N. Levey for KFF Health News) For Emily Boller, it was a $5,000 hospital bill for a simple
Read More3 ways to reduce Medicare Advantage overpayments
(By Rylee Wilson for Becker’s Hospital Review) Medicare Advantage overpayments may be higher than the the Medicare Payment and Advisory
Read MoreUnitedHealthcare preparing for rising Medicare Advantage costs in 2024
(By Rylee Wilson for Becker’s Hospital Review) UnitedHealthcare is expecting medical costs among the Medicare Advantage population to keep rising,
Read MoreWill the new Alzheimer’s drug put pressure on Medicare premiums?
The FDA approved the drug Leqembi, and Medicare will cover the new expensive new drug that promises the slowing the
Read MorePayer price transparency data has been available for a year. Is it lowering costs?
(By Rylee Wilson for Becker’s Hospital Review) Price transparency data is available, but several changes are needed to actually bring
Read More10 Prescription Drugs Accounted for $48 Billion in Medicare Part D Spending in 2021, or More Than One-Fifth of Part D Spending That Year
(By Chris Lee for The Kaiser Family Foundation published July 12, 2023) A new KFF analysis finds that the 10
Read MoreWait, What’s a PBM?
(By Dan Weissmann for KFF Health News) You might wonder, wait, what’s a PBM exactly? And also, why am I
Read MoreACA risk adjustment payments are on the rise: CMS
(By Rylee Wilson for Becker’s Hospital Review) Total risk adjustment payments in individual and small group insurance plans increased in
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