The Centers for Medicare & Medicaid Services said the cancelled payments are linked to people enrolled twice in the system, as well as those found to be deceased. Determinations are subject to a 30-day appeal of any errors made during the purge. 

Despite six of its seven contracts earning over 4 stars, Alignment Health is challenging the Centers for Medicare & Medicaid Services’ methodology.

Humana, the parent company of CenterWell, revealed the deal on Tuesday. Per the terms, BlackRock will take over the majority ownership of 150 clinics, with promises to make new investments aimed at promoting growth.

The company does not admit to wrongdoing, but was accused by the U.S. Department of Justice in 2024 of unlawful prescriptions for controlled substances, going on to bill Medicare and other government health programs.

The “Lower Premiums, Faster Payments Act” from Rep. Frank Pallone (D-NJ) would eliminate the independent dispute process completely. Its proposal comes after recent indication that the No Surprises Act lacks teeth.

Close to two-thirds of Americans carrying medical debt, 64%, owe the money to hospitals, whether for inpatient, outpatient or ER services. 

In announcing its proposed changes to the Clinical Laboratory Fee Schedule for 2027, the Centers for Medicare & Medicaid Services justified the reduced reimbursement by pointing to rates paid by private insurers, which are on average 16% less than what the federal government pays.

To date, no one has published an independent, comparative performance analysis of AI detection models in imaging, similar to Consumer Reports, the study's authors believe. 

Certain lots of argatroban, a blood thinner often used as an alternative to heparin during PCI, have been recalled due to the presence of particulate matter. The affected products should not be used to treat any patients due to an increased risk of adverse events.