Chester County News and Community Website
WASHINGTON, D.C. — The Trump administration will send one-time $90 payments to more than 20 million Medicare Part B enrollees in October, using $2 billion from the Medicare Improvement Fund …
Trump Administration Plans $90 Medicare Part B Rebates Read More
PHILADELPHIA, PA — Administrative costs at Medicare-focused health plans declined 0.3% per member in 2025, the weakest cost growth in a decade, as staffing levels fell and premium growth pushed …
Medicare Plan Administrative Costs Fall as Premiums Climb Read More
PHILADELPHIA, PA — Independence Blue Cross agreed to pay $22.5 million to resolve federal allegations that the Pennsylvania insurer submitted and failed to withdraw inaccurate diagnosis codes that increased Medicare …
Independence Blue Cross to Pay $22.5 Million in Medicare Case Read More
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will expand its outcome-based ACCESS payment model in spring 2027 to cover heart failure, chronic obstructive pulmonary disease, substance use …
CMS Expands Outcome-Based Medicare Care to More Conditions Read More
WASHINGTON, D.C. — U.S. financial institutions flagged about $17.5 billion in activity potentially tied to health care fraud over a one-year period, giving federal investigators a broad view of suspected …
FinCEN Flags $17.5 Billion in Suspected Health Care Fraud Read More
WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services barred 11 medical-equipment suppliers from future Medicare Advantage and Part D payments after identifying more than $3.4 billion in suspected …
CMS Bars 11 Suppliers Over $3.4 Billion in Suspect Billing Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services said its laboratory-fraud enforcement efforts have prevented or recovered more than $1.6 billion in potentially improper Medicare payments, including $732 …
CMS Says Lab Fraud Crackdown Blocked $1.6 Billion in Payments Read More
WASHINGTON, D.C. — The Department of Health and Human Services last week referred hospitals and clinics involved in pediatric gender-transition care for possible federal investigation after a commissioned report identified …
HHS Refers Pediatric Gender-Care Billing for Fraud Review Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services proposed a new pathway to shorten the lag between Food and Drug Administration authorization and national Medicare coverage for certain …
CMS Proposes RAPID Path to Cut Medicare Device Coverage Delays Read More WASHINGTON, D.C. — The Centers for Medicare & Medicaid Services will require most eligible hospitals to participate in a national episode-based payment model for hip, knee and ankle replacements beginning …
CMS Expands Joint-Replacement Payment Model Nationwide Read More