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By Susan Morse | 09:57 am | October 05, 2023
Combined Essentia Health, Marshfield Clinic would create 25 hospital system in Wisconsin, Minnesota, Michigan's Upper Peninsula, North Dakota.
By Jeff Lagasse | 11:59 am | October 04, 2023
Insurers are now precluded by federal regulation from implementing co-pay accumulators for drugs that lack generic equivalents.
By Jeff Lagasse | 07:21 pm | October 03, 2023
Major insurers are rolling out MA benefits for 2024, ahead of open enrollment, starting on October 15.
By Susan Morse | 04:36 pm | October 03, 2023
Sansum is gaining the scale necessary for capital investment, its CEO says.
By Jeff Lagasse | 11:17 am | October 03, 2023
The lawsuit was linked to past risk adjustment submissions from certain types of patient records, some dating back more than a decade.
By Susan Morse | 09:54 am | October 03, 2023
The drugs selected account for $50.5 billion in Part D gross covered prescription drug costs, or about 20% of the total, CMS says.
By Jeff Lagasse | 03:21 pm | October 02, 2023
Older Americans are facing some barriers to adoption, including struggles with digital channels, access and ease of use.
By Susan Morse | 11:26 am | October 02, 2023
Drug manufacturers must now enter into an agreement with HHS to take part in the price negotiation process. 
By Jeff Lagasse | 11:00 am | October 02, 2023
States must provide 12 months of continuous coverage for children under the age of 19, CMS says.
By Jeff Lagasse | 03:24 pm | September 29, 2023
Such an approach, the group said, would allow oversight organizations to tailor their regulations to the particular risks linked to AI.