A new BlueCross BlueShield of Tennessee study identified social barriers to health for two million members. Key factors ...
On March 11, the U.S. Department of Justice and U.S. Attorney’s Office announced that Aetna, a national health insurer, has agreed to pay ...
EXCLUSIVE — Hospitals in Florida are charging privately insured patients nearly four times what Medicare pays for the same care, the highest markup in the country, according to a new national analysis ...
Some Delaware hospitals charge employee private plans more than 300% of Medicare for certain medical services.
Pennsylvania holds special Medicare enrollment period due to LVHN and United dispute ...
Using nationally representative data, the authors found that for common physician-administered drugs, hospitals’ unilaterally set cash prices are frequently lower than their median—and sometimes even ...
The One Big Beautiful Bill Act (OBBBA) included important reforms to limit states’ costly use of State Directed Payments ...
Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a single modern procedure coding system to eliminate excess costs and lower ...
NPCE enters 2026 with rising RNS adoption, stronger margins and Medicare payment hikes that could boost hospital economics for replacement procedures.
Vermont’s 8-year ‘all-payer’ health care experiment sunset at the end of 2025. What did it teach us?
The statewide organization at the center of the project, OneCare Vermont, was expensive to launch and operate. Now legislators are trying to reimagine pieces of the program for primary care.
Transforming healthcare underpayment detec AI in 2026 improves revenue recovery for U.S. hospitals facing $130 billion in annual losses.
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