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• Providers are opting out of Medicare Advantage (MA) contracts due to reduced payments, increased claim denials, and prior authorization hurdles, which are straining provider-insurer relationships...
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• Insurers are reconfiguring Medicare Advantage networks by cutting provider payments, pruning benefits, and tightening claim approvals to address declining profitability, leading to more contract disputes and patient access challenges...
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• The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions....
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• Murphy Introduces Legislation to Improve Enforcement of No Surprises Act - September 13, 2024...
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• CMS released a report detailing complaints related to the NSA....
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• The article highlights the uncertainty and anxiety faced by Florida Blue customers due to ongoing negotiations with Baptist Health, highlighting the potential end of in-network coverage if an agreement is not reached by September 30. This situation underlines the importance of understanding healthcare rights and preparedness during insurance contract renewals...
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