24
Dec
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Indiana Medicaid Scandal: $56M Improper PaymentsIndiana Medicaid Scandal: $56M Improper Payments Federal Audit Uncovers Massive Payment Irregularities A damning audit from the U.S. Office of... Continue Reading
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09
Dec
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CMS Leads Positive Changes in Medicare Advantage RatingsIntroduction The Centers for Medicare & Medicaid Services (CMS) has recalculated the Medicare Advantage star ratings for UnitedHealth and Centene... Continue Reading
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09
Dec
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Dual Eligibility Offers Comprehensive Support for Health SuccessNavigating the complexities of healthcare is challenging, especially for individuals who qualify for both Medicare and Medicaid. Known as dual... Continue Reading
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09
Dec
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Biden Administration Introduces Powerful Plan for Obesity CareIntroduction The Biden administration has proposed expanding Medicaid and Medicare coverage to include weight loss drugs such as semaglutide (Wegovy)... Continue Reading
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04
Dec
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Highmark Achieves Remarkable Profit Growth in Healthcare IndustryIntroduction Highmark Health has demonstrated financial resilience in 2024, achieving $529 million in net income through the third quarter. With... Continue Reading
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04
Dec
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CMS Proposals Offer Better Solutions for Health EquityIntroduction On November 26, CMS proposed transformative reforms to the Medicare Advantage and Part D programs to address long-standing issues... Continue Reading
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04
Dec
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Ozempic Price Reduction Brings Hope to Patients NationwideIntroduction: Ozempic Price Drop – A Positive Shift in Healthcare The rising prevalence of obesity and diabetes has positioned GLP-1... Continue Reading
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04
Dec
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Bristol Myers Squibb Leads Reform for Better Patient OutcomesIntroduction to the 340B Drug Discount Program The 340B Drug Discount Program was enacted by Congress in 1992 to assist... Continue Reading
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04
Dec
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PDPM Propels Medicaid into a Smarter Healthcare EraIntroduction The Patient Driven Payment Model (PDPM) is reshaping Medicaid reimbursement systems across the United States. With states phasing out... Continue Reading
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04
Dec
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Behavioral Healthcare Services Paves Way for Stronger Medicaid OversightIntroduction Medicaid fraud poses significant challenges to the integrity of healthcare systems across the United States. A recent case in... Continue Reading
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