Calculators, or “adding machines” as they were once called, once represented revolutionary technology.

The U.S. Department of Health and Human Services (HHS) recently finalized a rule that establishes “disincentives” for healthcare providers found to have engaged in information blocking.

The Centers for Medicare & Medicaid Services (CMS) issued its final rule revising the Medicare Advantage (MA) Program.

The U.S. Supreme Court continues to build its legacy of jettisoning well-established principles and practices.

Over the years, Medicare Advantage (MA) managed care plan violations have made national headlines for lack of transparency in reporting, access to care issues, and questionable financial practices.

Enrollment in HealthCare Sharing Ministry (“HCSM”) plans has been on the rise, with one report finding that more than 1.7 million Americans use HCSMs as their primary health coverage.

Understanding the quality of the claims early can save clients money, aid in determining how much to accept as settlement, and avoid unwanted surprises at the eleventh hour.

Congress enacted the bipartisan No Surprises Act (“NSA”) to end surprise medical bills for emergency services.

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule outlining a one-time lump sum payment of $9 billion dollars to be given to approximately 1,649 participating 340B hospitals.

On April 5, 2023, the Centers for Medicare and Medicaid Services (“CMS”) issued a final rule for Medicare Advantage (“MA”) Plans, confirming that MA Plans must follow the 2-Midnight Rule, its case-by-case exception, the inpatient-only (“IPO”) list, as well as traditional Medicare coverage criteria.