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Health Insurance & Benefits
Plan types, HSAs/FSAs, open enrollment, and navigating coverage denials/appeals.
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Pharmacy benefits advisor churn hits three in four employers, survey finds
11+ hour, 59+ min ago (311+ words) Three out of four US employers have either changed their pharmacy benefits advisor in the past 12 months or plan to in the next 12. That churn rate reflects compounding pressure from rising drug costs, new federal disclosure requirements, and growing employer…...
VA Tests CLEAR Identity Verification at Six Medical Centers
6+ hour, 49+ min ago (446+ words) WASHINGTON, D.C. — The Department of Veterans Affairs has deployed CLEAR identity verification technology at six medical centers to accelerate online account registration, testing a system designed to reduce barriers to accessing healthcare, disability benefits, and other federal services. The pilot program…...
Electronic prior auths are coming. Here’s what physicians must ask their EHR and billing vendors
3+ hour, 51+ min ago (451+ words) The CMS-0057 rule regulates health plans. The question that matters is: Which of your payers will be live in your EHR on Jan. 1? Beginning Jan. 1, 2027, health plans covered by a Centers for Medicare & Medicaid Services (CMS) rule must run standardized…...
2027 MA Star Ratings Released: Why it Matters for Providers
5+ hour, 42+ min ago (783+ words) Home » 2027 MA Star Ratings Released: Why it Matters for Providers Only 15 MA contracts earned a 5-star rating, down from 22 in 2026. Despite this decline, 71% of all MA enrollees remain in contracts rated 4 stars or higher. What MA Star Ratings don’t shed…...
NCH to Host Open House for Medicare Advantage Plan Members who Lose Primary Care Coverage on January 1, 2025
5+ hour, 29+ min ago (117+ words) Posted by cfelixcpa | Oct 24, 2024 | SF STAT! | 0 | In addition to Florida Blue, Cigna has announced that it will also discontinue coverage for primary care providers in Florida through its Medicare Advantage plan, reflecting a growing trend among insurance payers to scale…...
Medicare Advantage star ratings 2027: Winners and losers
8+ hour, 10+ min ago (347+ words) Posted by cfelixcpa | Oct 12, 2026 | SF STAT! | 0 | The share of Medicare Advantage members enrolled in highly rated plans remained steady at 71% for 2027. But some health insurers experienced big shake-ups. The Centers for Medicare and Medicaid Services released the data on how…...
Insurance Red Tape Keeps Blistering Disease Patients From Lifesaving Biologics
5+ hour, 23+ min ago (569+ words) A new survey of United States patients with autoimmune blistering diseases documents how insurance requirements such as prior authorization and step therapy delay access to biologic therapies that clinical trials show work best when started early....
Listed former Yarm pub could be turned into children's home under plan submitted to council
11+ hour ago (306+ words) A former pub and 17th to 18th century listed building could be turned into a home for children with autism or additional support needs. "The property is currently vacant and requires minor modernisation in terms of decoration to bring it back into…...
Medicare Ratings Put 2028 Insurer Bonuses in Focus
13+ hour, 49+ min ago (520+ words) BALTIMORE, MD — About 71% of Medicare Advantage enrollees are in health plans rated four stars or higher for 2027, according to federal ratings released October 8 by the Centers for Medicare & Medicaid Services, establishing quality assessments that will influence insurers’ 2028 bonus payments and…...
Bong Go urges stronger primary care as dialysis accounts for one-fourth of PhilHealth payouts
13+ hour, 58+ min ago (766+ words) SENATOR Christopher “Bong” Go urged PhilHealth to further strengthen primary and preventive healthcare while ensuring adequate benefits for Filipinos already undergoing dialysis and other life-sustaining treatments, following the state health insurer’s disclosure that around a quarter of its payouts now…...