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States crack down on hospital 'facility fees' for routine care, like colonoscopies

By Alan Goforth

Many hospitals are adding billions of dollars in fees for routine care in outpatient centers they own, raising patient costs for colonoscopies, mammograms and heart screenings, a new investigation found.

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Biden said Medicare drug price negotiations 'cut the deficit by $160B,' but it's years away

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$35 insulin price cap: 'Little' cost savings for insured patients, only HSA users benefit

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March 26, 2024

Supreme Court to hear abortion pill case, challenging FDA's strict safety limits

On Tuesday, the justices will hear arguments on whether to revoke mifepristone's approval and curtail its availability because the FDA imposed strict safety limits on who could prescribe and distribute it when it gave its approval.

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March 26, 2024

Ex-insurance commissioner admits role in $2.5M health care kickback scheme

John Oxendine admitted to his role in a health care kickback scheme that netted him hundreds of thousands of dollars.

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March 25, 2024

Employers, employees facing complications, after drug 'copay accumulator' ruling

The HHS rule, which mandates that health insurers not count copay assistance toward out-of-pocket costs, was struck down last fall, however, it is backfiring on patients with chronic diseases that need expensive drugs.

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March 25, 2024

Digital diabetes management tools fail to deliver results, drive up costs

For patients using tools in the remote patient monitoring category, annual spending is projected to increase by $2,002 for commercial insurance patients.

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March 22, 2024

Primary care giant Aledade facing a Medicare fraud whistleblower lawsuit

The suit alleges Aledade cheated Medicare out of millions using billing software "rigged" to make patients appear sicker than they were, such as coding anxiety as depression, boosting payments by $3,300 a year per patient.

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March 22, 2024

No matter the risks, more employers are choosing self-funded plans

Although employers choose the plans in order to negotiate lower health care prices, they generally lack market power to do so effectively, so they need to critically assess whether it will help their bottom line, says a new study.

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March 21, 2024

The surge in provider-insurer contract disputes is leaving patients in the lurch

The escalating warfare over pricing, which stems from hospital price transparency regulations that have allowed hospitals to compare reimbursement rates with one another, can leave patients without continuity of coverage.

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Health Care Reform

Top Health Care Reform Stories

States crack down on hospital 'facility fees' for routine care, like colonoscopies

Biden said Medicare drug price negotiations 'cut the deficit by $160B,' but it's years away

$35 insulin price cap: 'Little' cost savings for insured patients, only HSA users benefit

Recommended Just For You

Health Care Reform Stories

Supreme Court to hear abortion pill case, challenging FDA's strict safety limits

Ex-insurance commissioner admits role in $2.5M health care kickback scheme

Employers, employees facing complications, after drug 'copay accumulator' ruling

Digital diabetes management tools fail to deliver results, drive up costs

Primary care giant Aledade facing a Medicare fraud whistleblower lawsuit

No matter the risks, more employers are choosing self-funded plans

The surge in provider-insurer contract disputes is leaving patients in the lurch