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/><span class="story-title">UnitedHealthcare wins lawsuit over star ratings</span> </a> </div><div class="col-md-4 col-sm-4 col-xs-4"> <a href="/news/express-scripts-caremark-optumrx-fight-back-lawsuit-against-ftc" title="Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC "> <img class="top_story_thumbnail" typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/top_stories/public/FTCbuilding.RiverNorthPhotography.jpg?itok=bMzoExlT" width="120" height="72" alt="Express Scripts, Caremark, OptumRx fight back in lawsuit against FTC " /><span class="story-title">Express Scripts, Caremark, OptumRx sue FTC </span> </a> </div> </div> </div> </div> </div> </div> <h1 class="page-header">Medicare & Medicaid</h1> <div class="row"> <div class="stickyParent system-main"> <section class="col-sm-8 col-xs-12"> <a id="main-content"></a> <div class="region region-content"> <div id="block-system-main" class="block block-system block-system-main clearfix" > <div class="content"> <div class="view view-news-by-topic view-id-news_by_topic view-display-id-page view-news view-dom-id-06ac608320a688e873743c92fbd45407"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/AirAmbulance.KeithBrofsky_0.jpg?itok=7euxucdj" width="190" height="110" alt="Air ambulance in progress" title="Air ambulance in progress" /></div><div class="-right-content"><div class="date_author">Aug 23 | Susan Morse</div><div class="title"><span class="field-content"><a href="/news/cms-reports-over-12000-no-surprises-act-violations">CMS reports over 12,000 No Surprises Act violations </a></span></div><div class="teaser">CMS has directed that over $4 million in monetary relief be paid to consumers or providers.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/cms-reports-over-12000-no-surprises-act-violations">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/cms-reports-over-12000-no-surprises-act-violations">READ</a></div></div></div> </div> <div class="views-row views-row-2 views-row-even"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/doc_hospital_generic_Cavan%20Images_Getty%20Images_17_14.jpg?itok=5PC2Tasf" width="190" height="110" alt="Clinicians walking down a hospital corridor" title="Clinicians walking down a hospital corridor" /></div><div class="-right-content"><div class="date_author">Aug 22 | Jeff Lagasse</div><div class="title"><span class="field-content"><a href="/news/medicare-advantage-growth-could-be-challenging-hospitals">Medicare Advantage growth could be challenging for hospitals</a></span></div><div class="teaser">The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/medicare-advantage-growth-could-be-challenging-hospitals">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/medicare-advantage-growth-could-be-challenging-hospitals">READ</a></div></div></div> </div> <div class="views-row views-row-3 views-row-odd"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/Medicare_old_couple_computer_shapecharge_Getty%20Images.jpg?itok=PLqmSbmt" width="190" height="110" alt="Couple examining medical bills" title="Couple examining medical bills" /></div><div class="-right-content"><div class="date_author">Aug 21 | Jeff Lagasse</div><div class="title"><span class="field-content"><a href="/news/consumers-more-satisfied-medicare-advantage-commercial-plans">Consumers more satisfied with Medicare Advantage than commercial plans</a></span></div><div class="teaser">Satisfaction among Medicare Advantage customers is 87 points higher than among customers of commercial member plans.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/consumers-more-satisfied-medicare-advantage-commercial-plans">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/consumers-more-satisfied-medicare-advantage-commercial-plans">READ</a></div></div></div> </div> <div class="views-row views-row-4 views-row-even"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/Pediatrics.Geber86_3.jpg?itok=od6Sxfy3" width="190" height="110" alt="Doctor with child patient" title="Doctor with child patient" /></div><div class="-right-content"><div class="date_author">Aug 21 | Susan Morse</div><div class="title"><span class="field-content"><a href="/news/aco-reach-changes-more-negative-positive-says-participant">ACO REACH changes more negative than positive, says participant</a></span></div><div class="teaser">The CMMI model includes downsize risk and accounts for holistic care, such as mental and behavioral health, and health equity.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/aco-reach-changes-more-negative-positive-says-participant">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/aco-reach-changes-more-negative-positive-says-participant">READ</a></div></div></div> </div> <div class="views-row views-row-5 views-row-odd"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/justice_liberty_legal_statue_SimpleImages_Getty%20Images_10.jpg?itok=hNc6Foly" width="190" height="110" alt="Statue of Lady Justice with scales" title="Statue of Lady Justice with scales" /></div><div class="-right-content"><div class="date_author">Aug 20 | Jeff Lagasse</div><div class="title"><span class="field-content"><a href="/news/humana-pay-90-million-settle-allegedly-fraudulent-part-d-bids">Humana to pay $90 million to settle allegedly fraudulent Part D bids</a></span></div><div class="teaser">The suit alleges Humana committed to providing the required level of coverage, but in fact planned to provide less.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/humana-pay-90-million-settle-allegedly-fraudulent-part-d-bids">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a 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drugs</a></span></div><div class="teaser">CMS said that if the new prices had been in effect last year, Medicare would have saved an estimated $6 billion across the 10 drugs.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/administration-reaches-negotiation-agreement-10-drugs">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/administration-reaches-negotiation-agreement-10-drugs">READ</a></div></div></div> </div> <div class="views-row views-row-8 views-row-even"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/Family.WillieBThomas_1.jpg?itok=AnNvTvku" width="190" height="110" alt="Family in kitchen" title="Family in kitchen" /></div><div class="-right-content"><div class="date_author">Aug 14 | Susan Morse</div><div class="title"><span class="field-content"><a href="/news/healthcare-organizations-ask-congress-continuous-medicaid-eligibility">Healthcare organizations ask Congress for continuous Medicaid eligibility</a></span></div><div class="teaser">Nationwide policy of 12-month continuous eligibility would allow these programs to operate more like private…</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/healthcare-organizations-ask-congress-continuous-medicaid-eligibility">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/healthcare-organizations-ask-congress-continuous-medicaid-eligibility">READ</a></div></div></div> </div> <div class="views-row views-row-9 views-row-odd"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/SeniorsSearching.Maskot_7.jpg?itok=SugUXDpX" width="190" height="110" alt="Two people searching on computer" title="Two people searching on computer" /></div><div class="-right-content"><div class="date_author">Aug 08 | Susan Morse</div><div class="title"><span class="field-content"><a href="/news/centene-exit-medicare-advantage-market-six-states">Centene to exit Medicare Advantage market in 6 states</a></span></div><div class="teaser">Actions won't impact Medicaid or ACA business in these states, where, notably, CVS and UnitedHealth Group both have presences, says…</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/centene-exit-medicare-advantage-market-six-states">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/centene-exit-medicare-advantage-market-six-states">READ</a></div></div></div> </div> <div class="views-row views-row-10 views-row-even views-row-last"> <div class="field-content"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/news_thumbnail/public/Doctor.computers.Helen%20King_1.jpg?itok=zAZYYXkg" width="190" height="110" alt="Clinician at computers" title="Clinician at computers" /></div><div class="-right-content"><div class="date_author">Aug 02 | Susan Morse</div><div class="title"><span class="field-content"><a href="/news/hospitals-get-29-payment-increase-final-rule">Hospitals get 2.9% payment increase in final rule</a></span></div><div class="teaser">For 2025, CMS is increasing the long-term care hospital standard payment rate by 3%.</div><div class="-hidden-mobile"><div class="button-read-more"> <a href="/news/hospitals-get-29-payment-increase-final-rule">Read more >></a></div></div><div class="-hidden-desktop -hidden-tablet"><div class="button-read-more"> <a href="/news/hospitals-get-29-payment-increase-final-rule">READ</a></div></div></div> </div> </div> <h2 class="element-invisible">Pages</h2><div 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Read this brief to learn strategies that increase patient ...</span> </div> </div> </div> </div> </div><div id="block-most-popular-most-popular" class="block block-most-popular block-most-popular-most-popular clearfix" > <div class="block-title">MostPopular</div> <div class="content"> <div class="most-popular-block"><div class="col-md-12 col-sm-12 col-xs-12 most-popular-item most-popular-item-1"><div class="thumbnail-row"><img typeof="foaf:Image" src="https://www.healthcarefinancenews.com/sites/healthcarefinancenews.com/files/styles/topic_page_most_popular/public/capitol_building_John%20Baggaley_Getty%20Images_3.jpg?itok=OhFbGTa6" width="102" height="59" alt="Senate strikes down healthcare worker vaccine mandate" /></div><a href="/news/senate-passes-measure-striking-down-healthcare-worker-vaccine-mandate">Senate strikes down healthcare worker vaccine mandate</a> <div class="-clear"></div> </div><div class="col-md-12 col-sm-12 col-xs-12 most-popular-item most-popular-item-2"><div 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