Medicare & Medicaid
The complaint charges Cigna with encouraging diagnoses that yielded higher reimbursement for MA members.
Medicare enrollees will also see lower costs for insulin and vaccines beginning in 2023, according to HHS.
Other top headlines this past week include a look at how telemedicine can improve orthopedic care.
Of the MGMA survey respondents, 89% said the overall regulatory burden on their practice has increased over the past 12 months.
The plan provides flexibility for veterans to see in-network local doctors and fill prescriptions at nearby pharmacies, outside the VA system.
Blue Shield criticized DHCS for intending to award contracts to national, for-profit companies, singling out Kaiser Permanente in particular.
What inspired the move is a growing view from within the federal government that the healthcare directory landscape is fragmented, CMS says.
Significantly, 37 plans earned 2.5 stars, compared to just two last year, while four plans earned two stars.
CMS is expected to release the star ratings "on or about October 6."
The court estimates the alleged overpayments far exceeded $100 million over a span from 2014 to 2018.