Wednesday, August 10, 2022: Payers

A federal judge in Alabama approved Blue Cross and Blue Shield (BCBS) companies’ $2.67 billion antitrust settlement. The ruling ends policyholders’ decadelong legal battle against 34 BCBS plans, alleging that the BCBS Association’s rules capping revenue...

Tuesday, August 9, 2022: Payers

A federal lawsuit in Texas is seeking to eliminate the preventive care of the ACA. The plaintiffs argue that the requirement is unconstitutional because some preventive health measures violate the Religious Freedom Restoration Act. According to the Urban Institute,...

Thursday, August 4, 2022: Payers

Health Care Service Corp. (HCSC) announced it plans to expand its Medicare Advantage business into another 150 counties next year. The expansion across Illinois, Montana, New Mexico, Oklahoma, and Texas will bring the company’s Medicare Advantage Prescription Drug...

Tuesday, August 2, 2022: Payers

The Centers for Medicare and Medicaid Services (CMS) released the final Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System rule, confirming a 4.3 percent pay increase for Medicare inpatient hospital services in fiscal...

Tuesday, August 2, 2022: Payers

A new study published in Health Affairs found that per-person health care spending between 2015-2019 ranged from $7,250 to $14,500 across the U.S. The authors said that the variation is due to state-specific factors, such as demographics and the underlying health of...

Monday, August 1, 2022: Payers

The Centers for Medicare & Medicaid Services (CMS) announced that basic monthly Medicare premiums for Part D prescription drug coverage are estimated to be $31.50 next year, a 1.8 percent drop from this year. CMS released the rates, along with other information...