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No Surprises Act influencing insurers' rate-setting plans - Vimarsana News

No Surprises Act influencing insurers' rate-setting plans

Insurers are using the federal ban on surprise out-of-network bills as a negotiating tactic with in-network providers, who see this as a harbinger of lower payments.

Medicare Advantage plans denied nearly 1 in 5 claims that should have been paid, HHS finds - Vimarsana News

Medicare Advantage plans denied nearly 1 in 5 claims that should have been paid, HHS finds

The agency’s inspector general found that private Medicare Advantage plans denied 18% of claims allowed under Medicare rules —often because of the insurers’ errors in processing claims.

Medicare Advantage plans skimp on claims, care, federal report finds - Vimarsana News

Medicare Advantage plans skimp on claims, care, federal report finds

A government watchdog report found private Medicare plans rejected 18% of requests and claims that traditional government-run Medicare allowed.

Large Percentage of People Unexpectedly Charged for COVID-19 Care - Vimarsana News

Large Percentage of People Unexpectedly Charged for COVID-19 Care

Results of a survey found that a sizeable percentage of people were charged for vaccines, testing, and COVID-19 related treatment, even though they assumed it was free of charge.

Biden pressured to cover COVID-19 tests through Medicare - Vimarsana News

Biden pressured to cover COVID-19 tests through Medicare

The Biden administration is exploring ways for Medicare beneficiaries to get over-the-counter, at-home COVID-19 tests for free.