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He Went in for a Colonoscopy. The Hospital Charged $19,000 for Two.

Tom Contos is an avid runner. When he started experiencing rectal bleeding in March, he thought exercise could be the cause and tried...

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He Went in for a Colonoscopy. The Hospital Charged $19,000 for Two.

Tom Contos is an avid runner. When he started experiencing rectal bleeding in March, he thought exercise could be the cause and tried...

In Settling Fraud Case, New York Medicare Advantage Insurer, CEO Will Pay up to $100M

A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total...

Employers Press Congress To Cement Health Price Transparency Before Trump’s Return

It seems simple: Require hospitals and insurers to post their negotiated prices for most health care services and — bingo — competition follows,...

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Four reasons to not wait until January to enroll in an ACA health plan

https://www.youtube.com/watch?v=0_pPoWxDryU Open enrollment for 2025 individual/family health coverage began on November 1,...

Let’s Distinguish Between Ageism and Aging

At what age are we “too old” to do something — like drive a car, manage our finances, or live on our own?...

A Toddler Got a Nasal Swab Test but Left Before Seeing a Doctor. The Bill was $445.

Ryan Wettstein Nauman was inconsolable one evening last December. After being put down for bed, the 3-year-old from Peoria, Illinois, just kept crying...

El poder en Washington ha cambiado. ACA podría cambiar también

El regreso del presidente electo Donald Trump a la Casa Blanca podría envalentonar a los republicanos que quieren debilitar o derogar la Ley...

Efforts To Curb ACA Enrollment Fraud Face Real-World Test

The current Affordable Care Act open enrollment season is the first big test of new federal guardrails against fraud. The rules aim to head...

Florida’s Deloitte-Run Computer System Cut Off New Moms Entitled to Medicaid

In mid-May, Mandi Rokx had a 3-month-old baby and a letter from a Florida agency warning that they both would be cut from...

Dicen que los esfuerzos contra el fraude en ACA han dado resultados. Pero hay que estar alerta

Los cambios no autorizados en los planes médicos de la Ley de Cuidado de Salud a Bajo Precio (ACA) parecen haberse reducido en...

Anti-Fraud Efforts Meet Real-World Test During ACA Enrollment Period

Unauthorized switching of Affordable Care Act plans appears to have tapered off in recent weeks based on an almost one-third drop in casework...

Pagar primero, parir después: algunos servicios piden a las embarazadas que paguen fortunas antes del parto

Renuka Rayasam En abril, cuando apenas llevaba 12 semanas de embarazo, Kathleen Clark estaba en la recepción de su ginecólogo-obstetra cuando le pidieron que...

Federal Watchdog Urges Crackdown on Medicare Advantage Home Visits

Medicare officials are pushing back against a federal watchdog’s call to crack down on home visits by Medicare Advantage health plans — a...

Readers Embrace ‘Going It Alone’ Series on Aging and Chastise Makers of Pulse Oximeters

Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full...

TV’s Dr. Oz Invested in Businesses Regulated by Agency Trump Wants Him To Lead

President-elect Donald Trump’s choice to run the sprawling government agency that administers Medicare, Medicaid, and the Affordable Care Act marketplace — celebrity doctor...