Senators Elizabeth Warren, D-Mass., and Ron Wyden, D-Ore., are expanding their probe into UnitedHealth Group’s nursing home programs after the company provided what they said is an insufficient response to their initial inquiry, along with new allegations of resident deaths.…
Author: Jakob Emerson
House Republicans have asked the leaders of some of the nation’s largest health insurers to testify before Congress at the end of January as scrutiny intensifies over rising healthcare costs and industry profits. On Jan. 22, the CEOs of UnitedHealth…
Highmark now covers all diagnostic breast studies and breast MRIs at 100% without copays or deductibles for members of its Blue Cross Blue Shield plans in Pennsylvania, New York, West Virginia and Delaware. The policy was effective Jan. 1 and…
The No Surprises Act’s independent dispute resolution process continues to be a source of controversy and litigation nationally more than three years after its implementation, with insurers and providers suing over alleged abuse of the arbitration system. The disputes come…
Wisconsin’s Medicaid program is projecting a $213.2 million shortfall through fiscal year 2027, driven largely by higher-than-expected enrollment in long-term managed care programs, according to a Jan. 5 report from the state Department of Health Services. The projected deficit, which…
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Anthem Blue Cross is suing 11 Prime Healthcare hospitals in California, accusing them of defrauding the insurer by “knowingly flooding” the No Surprises Act’s independent dispute resolution process with thousands of claims they knew were ineligible for arbitration. The complaint,…
HHS has finalized updated cervical cancer screening guidelines that will require most health insurers to cover self-collection testing and additional screening procedures beginning in 2027. The guidelines were published by the Health Resources and Services Administration on Jan. 5 and…
The expiration of enhanced ACA premium tax credits and new Trump administration policies mean big changes for catastrophic and bronze ACA plans in 2026, per KFF. Six notes:
President Donald Trump said Jan. 6 that he plans to meet with 14 insurance companies “in a few days” to pressure them to lower prices for Americans. “We’re trying to solve the healthcare problem. We’re trying to get better healthcare…
San Antonio, Texas-based Baptist Health System has filed a lawsuit against UnitedHealthcare over alleged underpayments for emergency room services provided to patients with ACA coverage, the San Antonio Express-News reported Jan. 2. The health system’s hospitals are not in network…