Policy and Legislation

Benefits will now be distributed to the subscribers who sued Blue Cross more than a decade ago.

Groups with the highest gains in coverage because of Medicaid expansion include non-Hispanic Blacks, young adults and women.

A deal between Express Scripts and Prime Therapeutics served solely as a price-fixing mechanism, the suit alleges.

The U.S. Department of Health and Human Services Office of the Inspector General recommends Medicare develop its own source for race and ethnicity data collection in the Medicare population, says Ann Maxwell, HHS-OIG deputy inspector general for evaluations.  

The associations' primary recommendation is to retire CMS' Severe Sepsis/Septic Shock Management Bundle.

Organizations say the proposals are legally and operationally flawed and could hinder access rather than facilitate it.

HHS wants to ensure affordable access for beneficiaries in public programs such as Medicare and Medicaid, and for the uninsured.

The State of California identified several violations in the plan's provision of behavioral healthcare services to enrollees.

Most AI adoption requires healthcare organizations to have a certain level of digital maturity, says Professor David Lowe, clinical director, Health Innovation with the Scottish government.

Numerous telehealth flexibilities allowed under the pandemic will need to be decided on a more permanent basis, ATA says.