Americans’ Challenges with Health Care Costs
(Authors: Grace Sparks, Lunna Lopes, Alex Montero, Marley Presiado, and Liz Hamel for the Kaiser Family Foundation Published: Jan 29,
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Healthcare Finance
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments
(By Fred Schulte for KFF Health News) Medicare Advantage health plans are blasting a government proposal this week that would
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CMS proposes nearly flat Medicare Advantage payments for 2027: 5 notes
(By: Jakob Emerson for Becker’s Hospital Review) CMS proposed its 2027 Medicare Advantage and Part D capitation rates and payment
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Eli Lilly to expand 340B reporting requirements
(By: Ella Jeffries for Becker’s Hospital Review) Eli Lilly and Co. will require all 340B covered entities to submit claims-level
Read MoreSick of Fighting Insurers, Hospitals Offer Their Own Medicare Advantage Plans
(By Susan Jaffe for KFF Health News) Ever since Larry Wilkewitz retired more than 20 years ago from a wood
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House passes healthcare spending package
(By: Erica Cerutti for Becker’s Hospital Review) The House of Representatives voted 341 to 88 on Jan. 22 to pass
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3 big questions about Trump’s healthcare policy plan
(By Jakob Emerson & Alan Condon for Becker’s Hospital Review) President Donald Trump released a sparsely detailed healthcare policy framework
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MA payments are $76 billion above FFS Medicare
Medicare Advantage (MA) plans are funded primarily through fixed monthly payments from Medicare, based on the expected healthcare costs of
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Missouri sues drugmakers, PBMs over insulin pricing
(By: Ella Jeffries for Becker’s Hospital Review) The Missouri attorney general’s office has filed a lawsuit against 19 pharmacy benefit
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H.R.5454 Medicare Advantage Prompt Pay Act
The Medicare Advantage Prompt Pay Act, H.R.5454, is bipartisan legislation introduced in Congress to address issues related to the reimbursement
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