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Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

Kaiser Health News

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.

ACA 138
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Doctors’ Offices Morph into Bill Collectors As Patients Face Growing Out-Of-Pocket Costs

Health Populi

This has raised the importance of price transparency, which is based on the hypothesis that if patients had access to personally-relevant price/cost information from doctors and hospitals for medical services, and pharmacies and PBMs for prescription drugs, the patient would behave as a consumer and shop around. In the U.S.,

Doctors 129
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Her First Colonoscopy Cost Her $0. Her Second Cost $2,185. Why?

Kaiser Health News

So when her primary care doctor suggested she be screened for colorectal cancer in September, Melville dutifully prepped for her colonoscopy and went to New London Hospital’s outpatient department for the zero-cost procedure. The former generally incurs no cost to patients under the ACA; the latter can generate bills.

ACA 106
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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

They paid bribes, kickbacks, set up phony jobs in doctors’ offices. They took reimbursements for medications that never dispensed and falsified records, defrauding insurers­ via pharmacy benefits managers of more than $65 million.

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How the Coronavirus is Reshaping Consumer Trust – The Edelman Trust Barometer Lens and Health Impacts

Health Populi

” The most trusted spokespeople globally were found to be — far and away #1 — doctors and health authorities, among 4 in 5 consumers across the 12 nations polled. health consumers’ trust in hospitals fell (partly due to surprise medical bills and patients-as-payors’ financial stress).

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Health Provider News – August 19, 2022

Hall Render

Stockton Doctor and Medical Practice Agree to Pay Nearly $2 Million to Resolve Allegations of Health Care Fraud. Collapse of private equity-backed Missouri hospitals mired employees in medical bills. Eastern New Mexico Medical Center names Adelane Kelly CFO and Kyle Stepp assistant CEO. WASHINGTON.

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Health Provider News

Hall Render

face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills. renovation St.