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The dispute centers on part of the rule preventing states from cutting off coverage for nonpayment of premiums after children have been found eligible for the children's health insurance program.
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In the federal lawsuit, the insurer claims the HHS and CMS quality ratings didn’t properly take into account disruptions caused by major flooding in 2023 in Broward County.
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Medicare officials defend the use of home visits that often spot medical conditions that are never treated.
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New court filings and lobbying reports reveal an industry drive to tamp down critics — and retain billions of dollars in overcharges. What is the Centers for Medicare & Medicaid Services doing about it?
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Federal regulators provided more specifics about why they suspended two private sector sites, including concerns about potential overseas accessing of consumer data and suspicions of involvement in enrollment and switching schemes.
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A private 2014 decision by the Centers for Medicare & Medicaid Services faces new scrutiny in a multibillion-dollar Justice Department fraud case against UnitedHealth Group.
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The GUIDE Model is designed to facilitate comprehensive, coordinated care that improves the quality of life for people with dementia and reduces the strain on their unpaid caregivers.
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CMS says it has received more than 200,000 complaints in the first six months of the year about people being signed up for Obamacare plans or switched to new plans without their consent.
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The judge dismissed the state's lawsuit against two federal agencies and said the case should instead be an administrative challenge. Next stop is the 11th U.S. Circuit Court of Appeals in Atlanta.
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The program, which began in March after the ramsomware attack on Change Healthcare, will close July 12. Providers are now successfully billing Medicare, the agency said.