Is the two-midnight rule costing payers? It depends who you ask
(Rylee Wilson for Becker’s Hospital Review) Both CVS Health and Humana contend with rising inpatient costs in Medicare Advantage, but
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Healthcare Finance
7 payers exiting Medicare Advantage markets in 2025
(By Jakob Emerson for Becker’s Hospital Review) Seven insurers are exiting Medicare Advantage markets in 2025, a number that is
Read MoreMarketplace Insurers are Proposing a 7% Average Premium Hike for 2025 and Pointing to Rising Hospital Prices and GLP-1 Drugs as Key Drivers of Costs
(By Tammie Smith for The Kaiser Family Foundation published August 5, 2024) ACA Marketplace insurers are proposing a median premium
Read MoreFew know they can challenge their insurer: Survey
(By Rylee Wilson for Becker’s Hospital Review) Fewer than half of people who receive an unexpected bill from their insurer
Read MoreUrgent Care or ER? With ‘One-Stop Shop,’ Hospitals Offer Both Under Same Roof
(By Phil Galewitz for KFF Health News) JACKSONVILLE, Fla. — Facing an ultracompetitive market in one of the nation’s fastest-growing
Read MoreMark Cuban’s big warning for employers
(By Jakob Emerson for Becker’s Hospital Review) Mark Cuban is issuing a big warning to self-insured employers: If your company
Read MoreMedicare negotiations for lower drug prices near the finish line
(By Sydney Lupkin for NPR) One of the first things President Biden touted in his announcement that he was bowing
Read MoreMedicare Advantage Enrollees Account for a Rising Share of Inpatient Hospital Days
(By Jamie Godwin, Jeannie Fuglesten Biniek, Zachary Levinson, and Tricia Neuman for The Kaiser Family Foundation Published: Jul 23, 2024)
Read MoreCMS cites Aetna in 1st No Surprises Act audit
(By Rylee Wilson for Becker’s Hospital Review) Aetna failed to accurately calculate qualified payment amounts for air ambulance services, CMS’
Read More10 Things About Long-Term Services and Supports (LTSS)
(By Priya Chidambaram and Alice Burns for The Kaiser Family Foundation Published: Jul 08, 2024) Long-term services and supports (LTSS)
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