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In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion
In Florida, Midterm Elections Hold Faint Hope For Medicaid Expansion

It's been three years since the Florida legislature last debated -- and overwhelmingly rejected --Medicaid expansion under the Affordable Care Act.

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Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find
Insurers Fall Short In Catching And Reporting Medicaid Fraud, Inspectors Find

The U.S. Health and Human Services' inspector general's office said a third of the health plans it examined had referred fewer than 10 cases each of suspected fraud or abuse to state Medicaid officials in 2015 for further investigation

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CMS Announces Initiatives to Strengthen Medicaid Integrity
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CMS Advances Demonstration to Waive MIPS Requirements for Clinicians in Certain Plans
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Healogics Agrees To Pay Up To $22.51 Million To Settle False Claims Act Liability for Improper Billing of Hyperbaric Oxygen Therapy
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Administration Eases Way For Small Businesses To Buy Insurance In Bulk
Administration Eases Way For Small Businesses To Buy Insurance In Bulk

Existing rules limit association plans to groups of employers in the same industry in the same region

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As Medicaid Costs Soar, States Try A New Approach
As Medicaid Costs Soar, States Try A New Approach

Nationwide, a dozen states are experimenting with Medicaid ACOs and 10 more are making plans for them

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Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients
Medicare Takes Aim At Boomerang Hospitalizations Of Nursing Home Patients

Nursing home residents often return from the hospital more confused or with a new infection

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Verma Unveils State Medicaid Scorecard But Refuses To Judge Efforts
Verma Unveils State Medicaid Scorecard But Refuses To Judge Efforts

Yet in a meeting with reporters, Verma refused to discuss the findings in any detail or comment on any individual states that performed poorly or exceptionally

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Could California Shape The Fate Of The Affordable Care Act In November?
Could California Shape The Fate Of The Affordable Care Act In November?

The results of Tuesday's primary have set up general-election contests between candidates with sharply differing views on government's role in health care

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Medicare Financial Outlook Worsens
Medicare Financial Outlook Worsens

The trustees projected lower wages for several years, which will mean lower payroll taxes, which help fund the program

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Administration Challenges ACA's Preexisting Conditions Protection In Court
Administration Challenges ACA's Preexisting Conditions Protection In Court

The federal lawsuit hinges on the ACA's individual mandate, or the requirement to get health coverage or pay a penalty

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HHS To Allow Insurers' Workaround On 2019 Prices
HHS To Allow Insurers' Workaround On 2019 Prices

The technique -- called "silver loading" because it pushed price increases onto the silver-level plans in the ACA marketplaces -- was used by many states for 2018 policies.

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Mitigating Florida's Opioid Crisis
Mitigating Florida's Opioid Crisis

7 key items to know about the new controlled-substance law HB-21

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Medicare Advantage Plans Adapt to CMS Changes -- Providers Play Important Role
Medicare Advantage Plans Adapt to CMS Changes -- Providers Play Important Role

Unfortunately, many MA plans lack the resources to effectively address these changes.

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Opinion: CMS Plan for 'Direct Primary Contractors' Will Confuse Public and Compromise True DPC Clinics
Opinion: CMS Plan for 'Direct Primary Contractors' Will Confuse Public and Compromise True DPC Clinics

Citizens' Council for Health Freedom: True Direct Primary Care practices will suffer If the DPC title is bestowed upon fake DPC clinics

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Pfizer Settles Kickback Case Related To Copay Assistance For $24M
Pfizer Settles Kickback Case Related To Copay Assistance For $24M

Pfizer knew that the third-party foundation was using Pfizer's money to cover the copays of patients taking Pfizer drugs

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Vermont Legislators Pass A Drug Importation Law. So What?
Vermont Legislators Pass A Drug Importation Law. So What?

Other states, including Louisiana and Utah, have debated similar legislation and are watching Vermont's progress closely

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Trump Vows (Again) To Lower Drug Prices But Skeptics Doubt Much Will Change
Trump Vows (Again) To Lower Drug Prices But Skeptics Doubt Much Will Change

The administration's blueprint proposes 50 actions to reduce what Americans pay for drugs

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Under Trump Proposal, Lawful Immigrants Might Be Inclined To Shun Health Benefits
Under Trump Proposal, Lawful Immigrants Might Be Inclined To Shun Health Benefits

The plan is alarming doctors, hospitals and patient advocates

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Federal Officials Say No-Go To Lifetime Limits On Medicaid
Federal Officials Say No-Go To Lifetime Limits On Medicaid

Critics of time limits, who say such a change would unfairly burden people who struggle financially throughout their lives, cheered the decision

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GDPR Takes Effect in May and Health Care Organizations Need to Get Ready
GDPR Takes Effect in May and Health Care Organizations Need to Get Ready

GDPR was created to ensure companies in the EU and worldwide are better protecting any data collected on EU citizens. GDPR also requires that EU citizens be clearly notified and requires their explicit consent before any personal data is collected and stored

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The Lowedown on Health Law
The Lowedown on Health Law

Administrative Defense Coverage and/or Administrative Proceedings Defense Coverage: Welcome Addition or Necessary "Evil"?

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CMS Proposes Changes to Empower Patients and Reduce Administrative Burden
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CMS Drives Patient-Centered Care over Paperwork in Proposals to Modernize Medicare and Reduce Burden
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Displaying Articles 1 - 25 of 257
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