CMS released guidance March 22 regarding health plans' payment of health care claims using virtual credit cards (VCCs) and adopted HIPAA standards for healthcare electronic funds transfers (EFT) and remittance advice (ERA) transactions.
Author: Andrew Cass
From an appellate court reversing an order that would require UnitedHealth Group to reprocess thousands of denied claims, to former Molina employees suing the company over alleged Employee Retirement Income Security Act violations, here are five recent legal actions involving…
CareFirst of Maryland, a Blue Cross Blue Shield affiliate, has tapped Djinge Lindsay, MD, to be its first director of public health.
America's Physician Groups and America's Health Insurance Plans are among the organizations throwing support behind UnitedHealthcare's effort to have the Supreme Court reverse a federal appellate court's decision regarding Medicare overpayments, Law360 reported March 23.
Michigan state Rep. Yousef Rabhi is planning to introduce legislation proposing a state-run, single-payer healthcare system, the Detroit Metro Times reported March 23.
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A group of former Molina employees is suing the Long Beach, Calif.-based managed care company over alleged violations of the Employee Retirement Income Security Act.
10 providers — including Denver Health, Yale Medicine and UMass Memorial Health — recently posted job listings seeking leaders in payer contracting and relations.
A federal appellate court reversed a pair of lower court decisions that required UnitedHealth Group's behavioral health unit to reprocess 67,000 previously denied mental health and substance abuse claims, according to Law360.
Humana plans to sell $750 million worth of senior notes, which the company said will be used for general corporate purposes.