by Jordana Choucair | Sep 27, 2021 | Payers
The White House approved new guidance requiring federal contractors and subcontractors to have their workforce fully vaccinated by December 8. They must also ensure workers and staff are following masking and physical distancing rules, among other safety precautions....
by Jordana Choucair | Sep 24, 2021 | Payers
Centene Corp. and Humana Inc. are suing Merck & Co., accusing the drugmaker of deploying “pay-for-delay” tactics to prevent lower-cost generic drugs from entering the market and causing them to overpay for two cholesterol medications by hundreds of...
by Jordana Choucair | Sep 22, 2021 | Payers
A report from the HHS Office of the Inspector General found that health insurers received $9.2 billion from Medicare in one year through controversial billing methods that may have allowed the companies to “inappropriately” inflate their payments. The...
by Jordana Choucair | Sep 20, 2021 | Payers
The CMS issued the third part of the 2022 Notice of Benefit and Payment Parameters, extending ACA open enrollment by another month. The new deadline on the federally run exchanges will be January 15. The rule increases insurer user fees for participating on the...
by Jordana Choucair | Sep 16, 2021 | Payers
The CMS barred three Medicare health plans operated by UnitedHealth Group Inc. and another owned by Anthem Inc. from enrolling new members next year because they didn’t spend the minimum amount required on medical benefits. The federal Medical Loss Ratio (MLR)...
by Jordana Choucair | Sep 14, 2021 | Payers
The CMS is proposing to pull a Trump era regulation that would have required Medicare to pay for any “breakthrough” (i.e., new technologies that attempt to improve care for people with life-threatening conditions) medical device. After receiving public feedback,...
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