Health Care Finance – Page 81 – medicarereport.org

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Feds want Humana’s Medicare Advantage clawback lawsuit thrown out

(By Rylee Wilson for Becker’s Hospital Review ) The Justice Department wants Humana’s lawsuit challenging a CMS rule that would

Eileen Cook December 21, 2023December 21, 2023 CMS, medicare, Medicare Advantage, Medicare Advantage Claw back

CMS Health Care Finance M4A and Public Option Plans

U.S. government spent more on health care in 2022 than six countries with universal health care combined

(By Annalisa Merelli for ST A T) American taxpayers footed the bill for at least $1.8 trillion in federal and

Eileen Cook December 20, 2023December 20, 2023 CMS, Healthcare Finance, Universal Healthcare

Aging Health Care Finance Part D/Prescription Drugs

A New Test Could Save Arthritis Patients Time, Money, and Pain. But Will It Be Used?

(By Arthur Allen for KFF Health News) SAN DIEGO — Erinn Maury knew Remicade wasn’t the right drug for Patti

Eileen Cook December 20, 2023December 20, 2023 Healthcare Costs, pharmaceuticals

Health Care Finance Legal Actions/Court Decisions Part D/Prescription Drugs

CareFirst sues J&J over alleged anticompetitive biosimilar tactics

(By Andrew Cass for Becker’s Hospital Review ) CareFirst BlueCross BlueShield has filed a proposed class-action lawsuit accusing Johnson &

Eileen Cook December 19, 2023December 19, 2023 Biosimilars drugs, Class Action Lawsuit, Healthcare Costs, Stelara, Ustekinumab

Health Care Finance Hospice/Home Health Services LTC Medicaid Medicare - General

Who Uses Medicaid Long-Term Services and Supports?

(By Priya Chidambaram, Alice Burns, and Robin Rudowitz for the Kaiser Family Foundation Published: Dec 14, 2023) KFF estimates that

Eileen Cook December 15, 2023December 15, 2023 Disabled, Home and Community-based services, Medicaid, Medicaid Long-term Services and Supports, medicare, Patient Assistance Programs

Affordable Care Act (ACA)Employer Healthcare Health Care Finance Health Insurance Medicaid

45% of employer group market can be disrupted, Centene CEO says

(By Jakob Emerson for Becker’s Hospital Review ) Centene CEO Sarah London foresees major disruption opportunities ahead in the employer

Eileen Cook December 15, 2023December 15, 2023 ACA, Employer Health Insurance, Healthcare Costs, Medicaid Redeterminations, Small Group Insurance

CMS Health Care Finance Health Care Redesign Medicare - General Part D/Prescription Drugs

The New Help for Medicare Beneficiaries with High Drug Costs That Few Seem to Know About

(By Juliette Cubanski and Tricia Neuman for the Kaiser Family Foundation Published: Dec 12, 2023) The Inflation Reduction Act of

Eileen Cook December 14, 2023December 14, 2023 CMS, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Advantage, Medicare Part D, Older Adults, Out-of-pocket prescription costs

Artificial Intelligence Health Care Finance Legal Actions/Court Decisions Medicare Advantage

Humana used AI tool from UnitedHealth to deny Medicare Advantage claims, lawsuit alleges

(By Jakob Emerson for Becker’s Hospital Review ) Humana used an artificial intelligence tool owned by UnitedHealth Group to wrongfully

Eileen Cook December 14, 2023December 14, 2023 AI, Care Coordination and Integrated Case Management, Denied Medicare Advantage Claims, Medicare Advantage, nH Predict, Older Adults

CMS Health Care Finance Health Care Redesign Health Insurance Legislative Update Medical Debt Medicare - General Part D/Prescription Drugs Price Transparency

3 Inflation Reduction Act Medicare changes taking effect in 2024

(By Rylee Wilson for Becker’s Hospital Review ) The federal government will cap drug copays and premiums for Medicare beneficiaries

Eileen Cook December 12, 2023December 12, 2023 CMS, Drug price Transparency, Healthcare Costs, Inflation Reduction Act of 2022, medicare, Medicare Insulin Cost-sharing, Medicare Part D, Older Adults

Health Care Finance Health Care Redesign Legislative Update Medicare - General Part D/Prescription Drugs Price Transparency

House passes site-neutral policy, transparency, PBM reform package

(By Rachel Cohrs for ST A T) WASHINGTON — The House passed a relatively major health care package late Monday,

Eileen Cook December 12, 2023December 12, 2023 Healthcare Finance, medicare, Medicare Part D, PBM, Price Transparency, Site Neutral Policy