Becker's Payer Issues | Payer News
WEBAndrew Cass - Thursday, October 3rd, 2024. A New Jersey-based company has agreed to pay more than $11.3 million to settle False Claims Act allegations arising from fraudulently reported call center performance metrics and fraudulent claims to the South Carolina Department of Health and Human Services.
Weight loss drug coverage could cost Medicare $35B by 2034, …
WEBAuthorizing Medicare to cover weight loss drugs would cost the federal government an estimated $35 billion over nine years, according to a new report from the Congressional Budget Office.. The report estimates the costs of widely popular GLP-1 weight loss drugs from 2026 through 2034, based on an illustrative policy in which Medicare would extend …
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WEB6 days ago · Medicaid call center operator pays $11.3M to settle False Claims Act liability. Andrew Cass - Thursday, October 3rd, 2024. A New Jersey-based company has agreed to pay more than $11.3 million to settle False Claims Act allegations arising from fraudulently reported call center performance metrics and fraudulent claims to the South Carolina ...
5 payer M&A updates | Becker's
WEB2 days ago · Andrew Cass - Tuesday, October 8th, 2024. From Centene completing the sale of another subsidiary, to IU Health announcing plans to sell its health plan to Elevance Health's Anthem Blue Cross and Blue Shield, here are five payer M&A updates Becker's has reported since Sept. 6. 1. Kroger Co. finalized the sale of its speciality pharmacy …
CMS' proposed ACA rules: 10 things to know - beckerspayer.com
WEB3 days ago · The agency published its proposed rules for the marketplace Oct. 4. Here are 10 things to know: CMS proposed holding lead agents at insurance agencies accountable for violations of marketplace standards. The agency also proposed using its authority to suspend an agent or broker's ability to operate on the exchange if the agency deems the …
UnitedHealth Group in the headlines: 10 updates
WEB3 days ago · From suing CMS over one phone call to launching its prior authorization gold-card program, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker's has reported since Sept. 11: 1. UnitedHealthcare is expanding its individual and family ACA marketplace plans to four new states and adding 119 new counties in 13 current states ...
Payer Policy Updates - Becker's Payer
WEBSep 27, 2024 · Jakob Emerson - 23 hours ago. Over the last month, California Gov. Gavin Newsom has signed 17 bills pertaining to the deployment and regulation of generative AI technology, including legislation that will require health insurers to ensure that physicians supervise the use of AI tools that make decisions about services and insurance claims.
How the payer workforce will evolve, per 12 executives - Becker's …
WEBAug 15, 2024 · Payer executives anticipate building their equity and population management teams and leaning on AI and new technology in the coming years. The 11 leaders featured in this article, part of an ongoing series, are all speaking at Becker's fall Payer Issues Roundtable, which is set for Nov. 4-6, 2024, at the Hyatt Regency in …
Becker's Payer Issues | Payer News
WEBThe leading news source for payer: Becker's Payer Issues. Becker's Payer Issues | Payer News. HHS' Office of Inspector General has published audits of four Medicare Advantage plans in the past two months. 4 Medicare Advantage plans audited for overpayments. Among major payers, customers are most satisfied with the telehealth offerings from ...
6 recent payer studies to know
WEBSep 21, 2022 · From long COVID-19 costs to comparisons of Medicare plans, here are six recent study findings involving payers Becker's has reported on since Sept. 1.