A recent study published by Health Affairs found hospitals are charging commercial health plans significantly higher rates than they do for the same procedures under Medicare Advantage plans, Axios...
Disagreements in the arbitration system between insurers and providers established by the No Surprises Act could have negative outcomes for consumers, according to Axios. Passed in 2021, the No Surprises...
As frustrations grow about hospital billing practices, measures to address the issue are advancing at both state and federal levels, according to Axios. Several states have enacted laws to...
Last month the U.S. Senate Finance Committee passed legislation to better regulate the pharmacy benefit manager (PBM) industry, Fierce Healthcare reports. The Committee, during a markup hearing, approved the...
A Congressional Committee is proposing changes that would require health insurance plans to speed up the prior authorization process, Axios reports. Last month, the U.S. House Ways and Means...
Roughly 17 percent of Maryland residents facing medical debt encounter compounded challenges, with a disproportionate amount of low-income consumers and communities of color affected, according to Maryland Matters. An...
New rules are being proposed by the Biden administration to ensure that insurers are covering mental health care in the same way they do physical health care, according to...
As part of its ongoing fight against pharmacy benefit managers (PBMs), the Federal Trade Commission (FTC) has issued a warning to PBMs that cite “outdated” studies and statements from...
A new JAMA study has concluded that COVID-19 pandemic relief funding helped nearly 75 percent of hospitals report positive revenue during the height of the pandemic, according to Axios. ...
Although federal price transparency rules have been in effect for more than two years, only about one-third of hospitals are in compliance, according to a study compiled by Patient...