On June 21, the U.S. Supreme Court declined to hear UnitedHealthcare's appeal of a CMS rule meant to recoup Medicare Advantage overpayments from payers.
Author: Jakob Emerson
Canton, Ohio-based US Acute Care Solutions has named Christopher Hummer its CEO.
Blue Cross and Blue Shield of Texas and Fredericksburg-based Hill Country Memorial Hospital reached a contract agreement June 16 to keep the hospital in network and avoid disruptions in service, according to the Fredericksburg Standard-Radio Post.
The Justice Department said Molina Healthcare and former subsidiary Pathways of Massachusetts have agreed to pay a settlement of $4.625 million over allegations of False Claims Act violations and improper licensure and supervision of healthcare employees.
COVID-19 was the eighth-highest condition for stop-loss claims reimbursement, and there was a 354 percent increase in the total number of claims compared to 2020, according to a report published June 21 by Sun Life.
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New Jersey state officials are no longer looking to claw back $34 million from Horizon Blue Cross Blue Shield of New Jersey for a service that allegedly was not provided to state employees through their health plan, Bloomberg reported June…
Cigna Medical Group, a division of the payer's Arizona business, has named Jeff Holt president and general manager.
The Texas Supreme Court ruled 5-4 on June 17 that Blue Cross Blue Shield of Texas cannot receive a $3 million tax refund from its stop-loss policies that reimburse self-insured employers because they are a form of health insurance, according…
Walgreens Health is partnering with Buckeye Health Plan to expand its Health Corners service to Medicaid members in five Ohio locations this summer.
The Blue Cross Blue Shield Association is planning to lease a new space for its headquarters in downtown Chicago, The Chicago Tribune reported June 16.