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U.S. District Judge Rosemary Collyer said the federal government’s legal obligations on Medicare Advantage insurers are subject to judicial review, Modern Healthcare reports. Also, the government announced it was slightly increasing the rate it pays Medicare Advantage insurers in 2018.
After the failure of the Republican replacement health bill in Congress, Democrats in Virginia are seeking to get a reluctant legislature to agree to expand Medicaid. News outlets report on expansion news from Louisiana, Texas and Minnesota.
A study finds that higher charges are associated with greater payments by private insurers, which can drive up costs for employers and consumers who pay their way.
Each week, KHN compiles a selection of recently released health policy studies and briefs.
The Health and Human Services Department secretary says the move could undermine the traditional doctor-patient relationship.
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
El Departamento de Justicia se ha unido a la demanda de un denunciante de California que acusa al gigante de seguros UnitedHealth Group de fraude en sus populares planes de salud de Medicare Advantage.
A collection of opinions on health care from around the country.
Stat looked at data from 39 agencies to analyze which segments of the health care industry have settled with the government. It found that pharmaceutical companies paid the most, accounting for almost 80 percent of penalties.
Now that the Republican health plan has failed, some lawmakers look to pull health care further left, including Sen. Bernie Sanders who plans to introduce a “Medicare-for-all” bill.
“The reason why Obamacare failed was because it wasn’t a bipartisan bill,” said Don Young, Republican of Alaska. His party made the same mistake, he said, writing their bill without Democrats. “We were very frankly guilty of that.”
Although President Donald Trump says he expects Democrats to come to Republicans to fix problems with the health law, Democrats are optimistic that they are in the best political position they’ve been in since the election.
The head of the Freedom Caucus, however, didn’t hit back at President Donald Trump.
Outlets report on news from Georgia, Texas, Colorado, New Jersey, Connecticut, Massachusetts and Ohio.
“In an internal discussion I used the word ‘prioritized’ and I regret this has caused concerns that Mayo Clinic will not serve patients with government insurance. Nothing could be further from the truth,” Dr. John Noseworthy said.
Opinion writers take aim at comments made by some of the Republican plan’s pitch men while also noting the interests that are staying silent as the debate continues. They also highlight the role of key players and personalities such as Health and Human Services Secretary Tom Price.
In the aftermath of Congressional Budget Office estimates regarding the number of Americans who would lose health coverage under the American Health Care Act, editorial pages move deeper into the discussion with some scalding critiques of the plan and some defenses of how it could help reduce the nation’s deficit.
However, the director of the Office of Management and Budget plays down the possibility of allowing Medicare to negotiate the cost of drugs. Also, the Columbus Dispatch examines the difficulties that seniors face in enrolling and navigating Medicare. And hospitals must now give Medicare patients official notice if they haven’t been admitted to the hospital and are instead in observation care.
Not being officially admitted — a status known as observation care — can have financial consequences for beneficiaries, and patients had often complained they were not informed.
Caregiving for patients with the degenerative brain disease has already cost the federal program $259 billion. And in other public health news, research links the Zika virus to heart problems. And health officials confirm that a highly contagious form of bird flu was found at a Tennessee chicken farm.