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The Centers for Medicare & Medicaid Services has announced that it will increase the benchmarks paid to Medicare Advantage plans by an average of 5.06% for calendar year 2026. This is an increase of 2.83 percentage points since the 2026 Advance Notice. CMS attributed the 5.06% increase to an increase in the effective growth rate, […]

The Department of Health and Human Services has filed a Cross-Motion for Summary Judgment supporting the previous administration’s position that pharmaceutical manufacturers do not have the unilateral right to implement rebate programs for 340B drugs. The MSJ brief argues that HHS was well within its statutory authority to prevent the manufacturers from unilaterally implementing the

If you or your business provided healthcare services, equipment, or supplies to Blue Plan patients anytime from July 24, 2008, to October 4, 2024, you may be eligible to submit a claim for your share of a $2.8 billion settlement reached with the Blue Cross and Blue Shield system. The settlement, reached earlier this year

If you or your business provided healthcare services, equipment, or supplies to Blue Plan patients anytime from July 24, 2008, to October 4, 2024, you may be eligible to submit a claim for your share of a $2.8 billion settlement reached with the Blue Cross and Blue Shield system. The settlement, reached earlier this year

A federal district court has partially denied UnitedHealthgroup’s Motion to Dismiss a class action lawsuit challenging its use of artificial intelligence to deny post-acute care for its Medicare Advantage members, allowing the case to proceed. The lawsuit, The Estate of Lokken v. UnitedHealthgroup, pending in the federal district court for the District of Minnesota, alleges

Today, experts Daniel Slottje and Brendan Rogers, and Matthew C. Katz provided declarations to the Court in support of the Injunctive Relief Valuation of the BCBS Provider Settlement.  The respective reports can be found here and here, and the Executive Summary of the reports can be found here.

If you or your business provided healthcare services, equipment, or supplies to Blue Plan patients anytime from July 24, 2008, to October 4, 2024, you may be eligible to submit a claim for your share of a $2.8 billion settlement reached with the Blue Cross and Blue Shield system. The settlement, reached earlier this year

Recently, Modern Healthcare published an article regarding the Provider Settlement.  The article can be found here.

If you or your business provided healthcare services, equipment, or supplies to Blue Plan patients anytime from July 24, 2008, to October 4, 2024, you may be eligible to submit a claim for your share of a $2.8 billion settlement reached with the Blue Cross and Blue Shield system. The settlement, reached earlier this year

Healthcare economist experts working on the Blue Cross Blue Shield antitrust case for the past decade have calculated a value for the settlement’s injunctive relief in excess of $17.3 billion over the first ten years of its implementation. In addition to a $2.8 billion monetary payment, the significant benefits of the settlement’s injunctive relief include