The House of Representatives recently passed a budget reconciliation bill that would appropriate funding for cost-sharing reductions that insurers are required to provide to low-income enrollees in the Affordable Care Act marketplace. This brief explains what these cost-sharing reductions are, how they relate to federal spending, and what effect appropriating funding might have on premiums…
The Host Julie Rovner KFF Health News @jrovner Read Julie’s stories. Julie Rovner is chief Washington correspondent and host of KFF Health News’ weekly health policy news podcast, “What the Health?” A noted expert on health policy issues, Julie is the author of the critically praised reference book “Health Care Politics and Policy A to…
Medical device manufacturer Exactech has agreed to pay $8 million to settle allegations that it concealed defects in a popular line of artificial knee implants, which have been blamed for thousands of patient injuries in lawsuits. The settlement resolves two whistleblower lawsuits alleging the Florida company violated the federal False Claims Act by billing government…
A bill introduced by Rep. Earl L. “Buddy” Carter would ban PBMs’ use of spread pricing in Medicaid, among other reforms. The post New Bipartisan Bill from Rep. Carter Aims to Crack Down on PBMs appeared first on MedCity News.
[Sponsored] Greenway Health blends smart technology with human expertise to elevate revenue cycle. The post RCM Outsourcing: Balancing Human Expertise & Smart Technology appeared first on MedCity News.
By MIKE MAGEE The Pope’s passing interrupted an epic battle between Trump and the rest of the civilized world over whether America remains a society “under the law.” Critical to the rule of law is the principle of “Due Process,” as described in not one, but two Amendments to our Constitution. The Fifth Amendment states…
This brief provides an overview of the DACA program, discusses its status and potential impacts of the ACA Marketplace expansion to DACA recipients, and highlights key issues to consider.
By MATTHEW HOLT I was having a fight on Twitter this week and it hit me. America 2024 is Japan 1989. The topic of the fight was right-wing VC Peter Thiel. In 2001 he put a ton of Paypal stock allegedly worth less than $2,000 into a Roth IRA. The Roth IRA was designed so…
Health systems should take the lead in fixing the broken prior authorization process, said Jeff Balser, CEO of Vanderbilt University Medical Center, during a recent conference. He highlighted AI, better workflows and centralized support as ways to reduce delays. The post Vanderbilt CEO: Health Systems Can Fix Prior Auth Without Waiting for Payers appeared first…