UnitedHealthcare received $42 million in fraudulent claims over four years from a South Florida clinic, the Justice Department announced Feb. 10.
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America's Health Insurance Plans' board of directors and CMOs issued guidance to payers on protecting patient data as the landscape continues to adopt virtual tools and solutions.
CMS released additional guidance Feb. 4 on how payers should best cover at-home COVID-19 tests.
Members are not taking advantage of requirements that payers must cover at-home COVID-19 tests, and signs point to reimbursement woes as a key contributing factor, according to TMJ4.
While UnitedHealthcare dominated 2021 in terms of revenue among health insurers, it's a tight financial race between many of the country's other top payers.
President Joe Biden's administration is no longer allowing several states to charge premiums to newly-eligible Medicaid enrollees — an undoing of Obama and Trump-era allowances, according to NPR.
More than 90 percent of physicians reported that prior authorization delays care, and nearly one-fourth say those delays have led to patient hospitalizations, according to a Feb. 10 American Medical Association survey.
Jonathan Gavras, MD, former Florida Blue CMO and Bright HealthCare Florida president, joined home-based care company CareCentrix as its senior strategic clinical advisor.
Maternity and neonatal care company ProgenyHealth anticipates five trends will dominate the way payers cover and support mothers and caregivers.
Blue Shield of California is collaborating with community partners to launch a new health equity initiative targeting mothers.