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HCSC Acquires Cigna’s Medicare Businesses and CareAllies

Innovaare Compliance

Health Care Service Corporation (HCSC) has entered into a definitive agreement to purchase Cigna’s Medicare Advantage, Medicare Supplemental Benefits, Medicare Part D, and CareAllies businesses for $3.3 With Cigna’s Medicare plans serving 3.6 million members, HCSC will substantially increase its Medicare footprint.

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Editorial: 5 Gaps in HIPAA and How They Are Being Filled

HIPAA Journal

The passage of HIPAA resulted in multiple benefits for the health insurance industry, the healthcare industry, and the people that they serve. For example, the Administrative Requirements (Part 162) helped reduce insurance fraud and accelerated eligibility inquiries, authorization requests, and claims processing.

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HCSC Acquires Cigna’s Medicare Businesses and CareAllies

Innovaare Compliance

Health Care Service Corporation (HCSC) has entered into a definitive agreement to purchase Cigna’s Medicare Advantage, Medicare Supplemental Benefits, Medicare Part D, and CareAllies businesses for $3.3 With Cigna’s Medicare plans serving 3.6 million members, HCSC will substantially increase its Medicare footprint.

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CMS Updates IPPS Rates, Wage Index and DSH Uncompensated Care in 2024 Final Rule

Hall Render

On August 1, 2023, the Centers for Medicare & Medicaid Services (“CMS”) issued its Final Hospital Inpatient Prospective Payment System (“IPPS”) and Long-Term Care Hospital (“LTCH”) PPS rule for fiscal year (“FY”) 2024 (“Final Rule”). The Final Rule increases the rate for IPPS payments by 3.3% in FY 2024 but applies a 0.2%

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As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

Kaiser Health News

Last month, another study in Health Affairs reported substantial growth in nonprofit hospitals’ operating profits and cash reserves from 2012 to 2019 “but no corresponding increase in charity care.” in charity care, while for-profit hospitals provided $3.80.

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Government Watchdogs Attack Medicare Advantage for Denying Care and Overcharging

Kaiser Health News

Congress should crack down on Medicare Advantage health plans for seniors that sometimes deny patients vital medical care while overcharging the government billions of dollars every year, government watchdogs told a House panel Tuesday. ” The health plan required patients to have an X-ray first to prove a CT scan was needed.

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HIPAA Violation Cases

HIPAA Journal

Read More… UnitedHealthcare UnitedHealthcare is a health insurer part of Minnetonka, MN-based UnitedHealthcare Group. Read More Advocate Health Care Network – Multiple HIPAA Violations OCR has just announced it has agreed to the largest ever HIPAA settlement with a single covered entity. million on appeal.

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