beccs
@RebeccaMPifer
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reporter on health insurance + a cornucopia of other interests @healthcaredive. tips welcome; dm's open. @ rpifer.95 on Signal
washington, dc
Joined June 2018
More heat on UnitedHealthcare + Humana from a new analysis finding they're inflating members sicknesses in Medicare Advantage - almost friendly fire, given it's coming from another payer group. via @healthcaredive.
healthcaredive.com
The research from the Alliance for Community Health Plans adds to existing evidence that major insurers are unfairly profiting from MA’s risk adjustment system, driving billions of dollars in...
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Over 1,000 HHS workers call for RFK Jr. to step down via @healthcaredive.
healthcaredive.com
The letter cites turmoil at the CDC, which is reeling from the firing of Director Susan Monarez, along with Kennedy’s silence in response to appeals to protect federal health workers.
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RT @MattAFiedler: New data from CMS show that many individual market enrollees (35%) had no claims in 2024. That’s led some (eg @WSJ and @B….
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RT @GovPressOffice: WHAT IS WRONG WITH CRACKER BARREL?? KEEP YOUR BEAUTIFUL LOGO!!! THE NEW ONE LOOKS LIKE CHEAP VELVEETA “CHEESE” FROM WAL….
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ok some clarity emerges - the AI products are “recipes” and the best one will win the government challenge to combat Medicare fraud aka the “chili cook off”.
.@CMSGov is officially accepting submissions for our fraud-crushing “Chili Cook-Off” challenge! For everyone who has told us they have better tools and techniques to stop fraud: prove it. If you think you’ve got the best recipe, enter your solutions into the contest at
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$5 to whoever can explain to me how chili is involved in this.
🌶️ 🔥 CMS' “Chili Cook Off” fraud challenge is now accepting submissions 🔥 🌶️ . We are looking for AI fraud-fighting proposals! It’s an open call to tech teams with innovative AI solutions to fight Medicare fraud. If you think you can handle the heat, enter the contest at
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UnitedHealth and Amedisys reach settlement with DOJ over $3.3B merger via @healthcaredive.
healthcaredive.com
The settlement filed with the Maryland district court on Thursday requires UnitedHealth and Amedisys to divest 164 home health and hospice sites to placate the DOJ’s concerns that the merger is...
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RT @A_Ciaccia: Shout-outs to @KirstenMcCaffer @amcporg @HHSGov @Arkansasgov @SocialSecurity @NCSLorg @SarahHuckabee @SaraLCline @jack_brook….
46brooklyn.com
Across every corner of U.S. healthcare, from end-of-life care to reproductive rights, patient choice sits squarely in the middle of many health policy questions. From a certain point of view, patient...
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If at first you don't succeed, try try again:. Humana refiles Medicare Advantage star ratings suit via @healthcaredive.
healthcaredive.com
Humana is taking a second bite at the apple to improve its sunken MA stars, filing an edited complaint with a Texas court on Monday. The insurer also announced plans to pare back its prior authoriz...
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Judge dismisses Humana’s Medicare Advantage star ratings suit via @healthcaredive.
healthcaredive.com
It’s a significant loss for the insurer, which sued the government late last year after its star ratings plummeted for 2025. Analysts estimate Humana could lose billions of dollars as a result of the...
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RT @A_Ciaccia: 340B scrutiny is ramping up. Will federal policymakers advance any meaningful reforms, or will things just mostly stay the….
healthcaredive.com
The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history with 340B than its covered providers would prefer. “It could be truly...
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340B could have a new cop on the beat. Hospitals are worried. via @healthcaredive.
healthcaredive.com
The HHS wants to move oversight of the controversial drug discount program to the CMS, which has a more aggressive history with 340B than its covered providers would prefer. “It could be truly...
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Oz hints at impending CMS rule to force drug price transparency via @healthcaredive.
healthcaredive.com
The Trump administration hopes to issue a rule by the end of this year empowering regulators to “very forcefully” go after companies that don’t share information on drug costs, the CMS administrator...
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Health insurers, nudged by Trump administration, pledge reform to prior authorization via @healthcaredive.
healthcaredive.com
Major insurers have agreed to six commitments that should make accessing care easier for patients while removing administrative burden on providers. But, the pledges’ voluntary nature makes complia...
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Humana’s cautious defense of Medicare Advantage via @healthcaredive.
healthcaredive.com
At the insurer's investor day, Humana struck a middle ground in defending the importance of the privatized Medicare program — which accounts for the bulk of its revenue — while allowing that there’s...
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“We had a choice between taking the 15 of us to New York or the 100 of you to Louisville. And we chose the latter and I’m sure you can understand why," Humana's CEO tells investors at the outset of its annual conference, alluding to the killing of UnitedHealthcare's CEO last year.
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Centene sued over alleged ghost network following member’s death via @healthcaredive.
healthcaredive.com
Ravi Coutinho tried to access mental healthcare he thought was covered by his Centene plan to no avail. The 36-year-old was later found dead, and his mother — who is bringing the suit — believes...
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House committees advance reconciliation text with big impacts on healthcare via @healthcaredive.
healthcaredive.com
Republicans in Energy and Commerce and Ways and Means have approved their portions of President Donald Trump’s “big, beautiful bill” after marathon markups. Here’s an extensive look at what the...
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Stopping a ‘moral obscenity’: Senate Judiciary committee expresses support for PBM reform via @healthcaredive.
healthcaredive.com
Sen. Chuck Grassley, R-Iowa, suggested Congress could once again move to overhaul PBMs’ controversial business practices after legislators pass President Donald Trump’s conservative megabill this...
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