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Unmasking the health care fraud epidemic: 3 steps to a revolution

By Craig Gottwals

Expert estimates suggest that up to a tenth of all health care spending might be swallowed by fraudulent operations. The insurance industry insists it's vigilantly safeguarding these funds, but the unnerving reality reveals a different story.

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Research

Burnout in the health care industry: Primary care doctors at higher risk

News

ACA no-cost preventive health care mandate is restored, for now

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Health Care Reform Stories

June 13, 2023

CVS, Walgreens, pharma firms agree to pay $19B in opioid settlement money to states by year's end

Consistent with previous "Big Three" opioid distributor agreements, the settlements require 85% of the funds be allocated to programs that address the ongoing opioid crisis through treatment, education and prevention efforts.

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June 13, 2023

Alliance calls on Congress to advance value-based care

Innovative health care models took center stage before the House of Representatives as an advocacy organization presented its case for shifting away from fee-based medical care as a way to improve health care and lower costs.

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June 13, 2023

Medicaid raid: HHS asks states to slow cuts after more than 1M enrollees dropped

On Monday, Xavier Becerra, secretary of the Department of Health and Human Services, sent a letter to state governors asking them to stop cancelling coverage of people dropped for not returning proper paperwork.

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June 12, 2023

Will ACA preventive care coverage be protected? Court seeking compromise

On Friday, it was announced that a tentative agreement has been reached after a federal appeals court ordered both sides to reach a compromise on whether to lift the freeze on preventive health services under Obamacare.

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June 12, 2023

As Medicaid purge begins, 'staggering numbers' of Americans lose health coverage

More than 600,000 have already lost coverage since pandemic protections ended on April 1 and about 15 million people will be dropped over the next year in the "Medicaid unwinding," as states review participants' eligibility.

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June 12, 2023

New CMS multi-state initiative to test out value-based primary care

The Centers for Medicare & Medicaid Services' new initiative will focus on primary care organizations, especially in rural areas, with limited experience in alternative payment models to help set up infrastructure.

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June 09, 2023

Inflation Reduction Act's impact on retiree benefits: What employers need to know

As the new law rolls out, some plan sponsors are questioning whether the government's capabilities to negotiate with Medicare on lower drug prices could prompt manufacturers to increase medication costs for employer plans.

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Health Care Reform

Top Health Care Reform Stories

Unmasking the health care fraud epidemic: 3 steps to a revolution

Burnout in the health care industry: Primary care doctors at higher risk

ACA no-cost preventive health care mandate is restored, for now

Recommended Just For You

Health Care Reform Stories

CVS, Walgreens, pharma firms agree to pay $19B in opioid settlement money to states by year's end

Alliance calls on Congress to advance value-based care

Medicaid raid: HHS asks states to slow cuts after more than 1M enrollees dropped

Will ACA preventive care coverage be protected? Court seeking compromise

As Medicaid purge begins, 'staggering numbers' of Americans lose health coverage

New CMS multi-state initiative to test out value-based primary care

Inflation Reduction Act's impact on retiree benefits: What employers need to know