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More Medicare Advantage upcoding could follow court ruling

More Medicare Advantage upcoding could follow court ruling

By Shelby Livingston  |  September 12, 2018

A federal judge's recent decision to vacate the 2014 Medicare Advantage overpayment rule paves the way for insurers to continue upcoding to reap higher CMS payments that could cost billions of dollars, experts said.

Hospitals sue for third time against 340B cuts

Hospitals sue for third time against 340B cuts

By Susannah Luthi  |  September 05, 2018

Hospitals are trying for a third time to halt HHS' cuts to Medicare Part B payments to 340B providers with a lawsuit filed Wednesday in a U.S. District Court.

5 Kavanaugh rulings that will loom large this week

5 Kavanaugh rulings that will loom large this week

By Susannah Luthi  |  September 01, 2018

President Donald Trump's second SCOTUS pick Brett Kavanaugh begins his confirmation hearings September 4. While abortion and Roe v. Wade are in the spotlight, his positions on other key healthcare issues will come into play, including Obamacare.

ACA court case causing jitters in D.C. and beyond

ACA court case causing jitters in D.C. and beyond

By Susannah Luthi  |  August 31, 2018

A lawsuit aiming to overturn the Affordable Care Act goes before a conservative Texas judge Sept. 5. The health insurance industry and GOP lawmakers are bracing for the potential fallout.

Lawsuit: TennCare favors insurers over hospitals for needy

Lawsuit: TennCare favors insurers over hospitals for needy

By Associated Press  |  August 28, 2018

Erlanger Health System in Chattanooga claimed Tennessee's Medicaid program purposefully siphoned money from hospitals that treat the neediest patients to favor insurance companies that often employ former TennCare employees.

Former CDC Director Frieden arrested on sex abuse charges

Former CDC Director Frieden arrested on sex abuse charges

By Steven Ross Johnson  |  August 24, 2018

Former Centers for Disease Control and Prevention Director Dr. Tom Frieden has been arrested in New York on charges alleging he forcibly touched a woman in his Brooklyn home last October.

Maine Supreme Court orders Medicaid expansion to go forward

Maine Supreme Court orders Medicaid expansion to go forward

By Modern Healthcare  |  August 23, 2018

In a largely procedural decision, Maine's high court ruled that Republican Gov. Paul LePage's administration must implement the state's voter-mandated Medicaid expansion even if it continues fighting the plan in court.

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