Thursday, September 30, 2021

Centene adds $71 million to state Medicaid drug pricing settlementsCentene adds $71 million to state Medicaid drug pricing settlementsCentene adds $71 million to state Medicaid drug pricing settlements

Centene adds $71 million to state Medicaid drug pricing settlements

The company has reserved $1.1 billion for future settlements related to its Envolve pharmacy benefit manager.



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HHS lays out surprise billing resolution process in new ruleHHS lays out surprise billing resolution process in new ruleHHS lays out surprise billing resolution process in new rule

HHS lays out surprise billing resolution process in new rule

The Biden administration gave new details on the independent dispute resolution process that out-of-network providers and plans can use to settle surprise billing disputes.



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Unnecessary emergency department visits cost $47B a year, report findsUnnecessary emergency department visits cost $47B a year, report findsUnnecessary emergency department visits cost $47B a year, report finds

Unnecessary emergency department visits cost $47B a year, report finds

Those with a chronic condition were twice as likely to receive care in the ED than people who were more familiar with the healthcare system.



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Non-rural providers can qualify for American Rescue Plan's $8.5 billion rural fundNon-rural providers can qualify for American Rescue Plan's $8.5 billion rural fundNon-rural providers can qualify for American Rescue Plan's $8.5 billion rural fund

Non-rural providers can qualify for American Rescue Plan's $8.5 billion rural fund

Eligibility for the $8.5 billion in COVID-19 rural fund hinges on whether patients, not providers, are rural. CommonSpirit Health, a 140-hospital system with north of $30 billion in revenue, plans to apply for a portion of the money.



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As Democrats bicker over massive spending plan, here’s what’s at stake for MedicaidAs Democrats bicker over massive spending plan, here’s what’s at stake for MedicaidAs Democrats bicker over massive spending plan, here’s what’s at stake for Medicaid

As Democrats bicker over massive spending plan, here’s what’s at stake for Medicaid

With Democrats controlling both chambers of Congress and the White House, health experts say this could be the only time such a fix to the “Medicaid gap” will be possible for many years.



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COVID is killing rural Americans at twice the rate of urbanitesCOVID is killing rural Americans at twice the rate of urbanitesCOVID is killing rural Americans at twice the rate of urbanites

COVID is killing rural Americans at twice the rate of urbanites

The pandemic is devastating rural America, where lower vaccination rates are compounding the already limited medical care.



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Death in Dallas: One family’s experience in the Medicaid gapDeath in Dallas: One family’s experience in the Medicaid gapDeath in Dallas: One family’s experience in the Medicaid gap

Death in Dallas: One family’s experience in the Medicaid gap

Health insurance for roughly 2.2 million Americans is on the table as Congress considers a spending bill that could be as high as $3.5 trillion over the next decade.



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5 things to know: Kaiser staff prepare to strike5 things to know: Kaiser staff prepare to strike5 things to know: Kaiser staff prepare to strike

5 things to know: Kaiser staff prepare to strike

Kaiser healthcare workers will soon vote on whether to strike after they say contract negotiations have stalled.



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HHS kills Trump-era 340B rule targeting community health clinicsHHS kills Trump-era 340B rule targeting community health clinicsHHS kills Trump-era 340B rule targeting community health clinics

HHS kills Trump-era 340B rule targeting community health clinics

The rule would have required community health clinics to pass on insulin and Epi-Pen savings directly to patients.



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Nebraska extends suspension of some hospital surgeriesNebraska extends suspension of some hospital surgeriesNebraska extends suspension of some hospital surgeries

Nebraska extends suspension of some hospital surgeries

Nebraska Gov. Pete Ricketts announced Wednesday that he was extending the measure through Oct. 31 to help short-staffed hospitals cope with existing patients.



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