Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Aspirus, based in Wausau, Wis., seeks a vice president of payer contracting and…
Author: Andrew Cass
False Claims Act settlements and judgments totaled more than $6.8 billion in fiscal year 2025, the highest annual amount on record, according to a Jan. 16 report from the Justice Department. Six things to know: 1. The $6.8 billion total…
St. Louis-based Mercy has named Paul Davis president of contracting and managed care, effective Jan. 19. Mr. Davis joins the health system from Humana, where he served as national vice president of network development and contracting, according to a Jan.…
From a Senate report finding the company used “aggressive strategies” to secure higher-paying Medicare Advantage diagnoses to Optum beginning a review of Minnesota Medicaid claims, here are 10 updates on UnitedHealth Group and its subsidiaries that Becker’s has reported since…
A bipartisan group of senators working to revive the ACA enhanced tax credits that expired at the end of 2025 said they won’t have their proposal ready until the end of January, Politico reported Jan. 13. Sen. Bernie Moreno, R-Ohio,…
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A Florida insurance brokerage executive was sentenced to prison for his role in a $133 million scheme and a healthcare software company CEO was sentenced to prison for his role in a $1 billion scheme. Here are 10 healthcare billing…
Ten providers recently posted job listings seeking leaders in payer contracting and relations. Note: This is not an exhaustive list. Listings were compiled from job-seeker sites. 1. Denver Health sees a senior director of payer contracting. 2. Hartford (Conn.) HealthCare…
Idaho Gov. Brad Little said he does not support repealing the state’s voter-approved Medicaid expansion program, The Idaho Statesman reported Jan. 8. Mr. Little’s statement comes after a panel of Idaho lawmakers in December recommended repealing the program, which provides…
The House of Representatives voted to extend the ACA enhanced tax credits that expired at the end of 2025 for three years. The measure now heads to the Senate. The 230-196 vote followed a Democrat-led discharge petition that reached the…
A federal judge ruled that Florida failed to provide adequate notice to Medicaid recipients before terminating their coverage during the post-pandemic unwinding process. The class-action lawsuit was filed in August 2023, alleging that beneficiaries received confusing notices from the state’s…