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Senate Dems reach draft deal to extend ACA premiums, lower drug costs

Healthcare Dive

The bill, part of a more than $300 billion package, extends enhanced ACA premiums and allows Medicare to negotiate select prescription drug prices starting in 2026.

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Medicare Advantage offers less access to psychiatrists than ACA plans, managed Medicaid: study

Fierce Healthcare

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

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House passes bill extending ACA subsidies, allowing Medicare drug price negotiations

Healthcare Dive

The bill, which passed on party lines in a 220-207 vote, will now head to President Joe Biden’s desk. He is expected to sign it into law this week.

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Federal officials trumpet record high ACA enrollment

Fierce Healthcare

million people will be enrolled in an Affordable Care Act during this year's open enrollment period, Centers for Medicare & Medicaid Services (CMS) announced today. More than 21.3 Affordable Care Act enrollment has hit an all-time high, prompting federal officials to recognize its importance to the insurance marketplace today.

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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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Payer Roundup–Cigna invests in 9amHealth; Voters give ACA thoughts

Fierce Healthcare

This week, voters said they are worried about insurance premium costs in a new poll, Cigna invests nearly $10 million in 9amHealth, Waltz Health enters the Medicare market and more. Below is a roundup of payer-centric news for the week of Feb.19,

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South Dakota expands Medicaid coverage under ACA

Fierce Healthcare

More than 52,000 low-income adults in Sout­­h Dakota are now eligible for Medicaid, the Centers for Medicare & Medicaid Services (CMS) and the U.S. | Low-income adults in South Dakota are now eligible for expanded Medicaid access under the Affordable Care Act, while 11 states hold out on approving the expansion.