Anthem-Cigna Merger Face More Hurdles

Insurance behemoth, Anthem lost their appeal of the February decision of a Federal Judge to block their 54 billion-dollar merger with Cigna. A three-judge panel rejected the appeal by Anthem, and the Department of Justice blocked their merger in the U.S. District Court noting the projected effect of the merger on competition in the market.…

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CMS Sends MIPS Participation Letters To Eligible Clinicians

The Centers for Medicare and Medicaid Services (CMS) had recently announced that the participation letters for the Quality Payment Program (QPP) would be sent to all the Eligible Clinicians starting late April through May. The Medicare Administrative Contractor (MAC), which processes the Medicare Part B claims of clinicians, will send these participation letters. Clinicians were…

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Trump’s 2018 Budget Proposes Highest Priority For Medicaid And Medicare Programs

President Donald Trump’s upcoming fiscal budget for 2018 is expected to direct more funds to curtail many of Medicare and Medicaid frauds, wastages, and abuses. It indicates major changes to Medicare, Medicaid, and the Children’s Health Insurance Program. This new proposal in the upcoming budget is made with the intention of focusing the agency resources…

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CMS Decides To Extend Non-ACA Compliant Plans

It is reported that the Trump Administration will allow consumers and insurers to extend for an additional small group and individual health plans, which do not comply with the coverage rules of the Affordable Care Act. The latest guidance from CMS allows grandmothered plans to work until December 31, 2018. It is reported that less…

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CMS Seeking Proposals For 2018 Medicare Plans

Medicare Advantage and Medicare Part D prescription drug plan programs managers are taking steps to ensure the programs stay the same for the next year as well. The 2018 Advance Notice packet for the programs issued by the managers appears roughly like the Medicare program advance notice packets that were posted earlier. There have been…

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Federal Court To Keep The ACA Claims Of The Carrier Alive

Recently, a judge at the US Court of Federal Claims declined immediate help to a Lake Oswego, Oregon-based health insurer seeking more than twenty one million dollars in payments from a troubled ACA program. However, the judge thinks that she can rule on if the Affordable Care Act program owes the insurer money. The judge,…

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Donald Trump’s Plans To Cut Unnecessary Healthcare Expenses

Donald Trump is elected as the next President of the United States of America for a reason. Among the promises made by him, the most notable one is the initiative to dismantle the Affordable Care Act, which is the most cherished legislation of the Left for the past eight years. Specifically, Trump promised to remove…

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Donald Trump Announces New Overseers For CMS And HHS

For the last weeks, Donald Trump has been assembling senior White House staff and his cabinet. Even though some in the media said that the Cabinet selection is much “disorganized”, it seems that the speed and timing of the Cabinet and the White House senior staff announcements are much consistent, or in some of the…

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Past Challenges Might Put ACA Open Enrollment At Risk

It is reported that ACA open enrollment is advancing even though many of the past challenges linger on, and not just the customers, but the insurers too are facing challenges. Enrollment of the younger individuals has lagged for all the three years the exchanges have been introduced, and we can assume that only a few…

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