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CEOs of four health systems testified before the House Ways and Means Committee Tuesday morning.
Fifty percent of the payment will be withheld to be reconciled after a 12-month care process, subject to two downward adjustments.
The bill is aimed at prohibiting large health insurers, such as UnitedHealthcare, from controlling a PBM or physician group.
The non-binding committee will make recommendations on, among other issues, ways to modernize MA risk adjustment and quality measurement.
Minnesota AG Keith Ellison and Gov. Tim Waltz were called to testify today before the House Committee on Oversight and Government Reform.
Decision follows 15-state lawsuit over the elimination of seven childhood vaccines from their recommended status.
CEO scheduled to testify before House subcommittee on health insurance affordability.
DOJ had alleged that the Kaiser affiliates violated the False Claims Act by submitting invalid diagnosis codes to get higher government payments.
The insurer turns risk adjustment into its own business, says Sen. Chuck Grassley, chairman of the Senate Committee on the Judiciary.
The bill touts lowering ACA premiums through an old route, cost-sharing reduction payments for insurers.
