Columbia, Mo.-based MU Health Care and Jefferson City-based Capital Region Medical Center are now in-network with all three of Missouri's HealthNet Medicaid plans after reaching an agreement with Home State Health, according to NBC affiliate KOMU 8.
Author: Staff
A panel of three judges ruled against HHS in a move that will allow Medicare beneficiaries to appeal nursing home coverage decisions if they transitioned from inpatient care to outpatient observation, according to Kaiser Health News.
From Excellus BlueCross BlueShield settling a data breach lawsuit impacting millions of members to GS Labs accusing Blue Cross and Blue Shield of Kansas City of violating antitrust laws, here are five recent legal actions and settlements involving payers.
A Florida judge ruled against Aetna in a proposed class-action lawsuit over the payer's denied coverage of proton beam radiation therapy for cancer patients.
Humana slashed its Medicare Advantage enrollment outlook nearly in half Jan. 6, forcing payers and their stakeholders to reflect on what the market will hold in 2022.
Advertisement
While ACA enrollment hit a record with 14.5 million sign-ups during the recent open enrollment period, the sustainability of that figure may largely be dictated by the Biden administration's ability to preserve subsidies that are currently temporary, according to The…
A bipartisan bill in Georgia's House of Representatives would require managed care organizations to reimburse the state if they spent too little on medical care or quality improvements, according to Kaiser Health News.
Ten providers — including Lumeris, Wellpath and St. Luke's University Health Network — recently posted job listings seeking leaders to help payer contracting and relations.
CMS is earmarking $49.4 million to reduce the number of uninsured children, parents and pregnant people across the country.
Small businesses aren't just bumping up wages to attract employees amid labor shortages — they are also doubling-down on strong health insurance benefits, according to a Jan. 27 Bloomberg report.