Cincinnati-based Bon Secours providers and facilities in South Carolina are facing a network split with UnitedHealthcare. If an agreement is not reached before July 1, the two organizations will be out-of-network across commercial, ACA, Medicare Advantage, and veteran plans. Some…
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Hospitals and medical practices faced slower payment processing from insurers in 2024 compared to 2023 even as prior authorization denial rates fell, according to new revenue cycle data from Kodiak Solutions. The data was derived from more than 2,100 hospitals…
The trade group representing insurers is warning budget legislation could lead to ‘unprecedented’ coverage losses. In a May 22 statement, AHIP President Mike Tuffin said that proposed budget legislation would increase uninsured rates and could raise premiums in the individual…
UnitedHealth Group’s former CEO Andrew Witty has resigned from the company’s board of directors, effective immediately. Mr. Witty will not stand for re-election as a director during the company’s annual shareholder meeting scheduled for June 2, the company said in…
Urbana, Ill.-based Carle Health will shut down its insurance businesses at the end of 2025. In a statement shared with Becker’s on May 22, Carle Health said Health Alliance and FirstCarolinaCare will exit all lines of business, including Medicare Advantage,…
Aetna Better Health of Illinois paid $20.4 million in value-based incentive payments to 16 community health centers. The funding is intended to improve quality of care in underserved communities, according to a May 20 news release. Three things to know: …
In a reversal, Colorado will continue to cover GLP-1s for state employees who already have prescriptions, the Colorado Sun reported May 20. Copays for those individuals will increase from $30 to $120 in July, and the state’s health plan will…
McLaren Health Plan has named Danielle Devine as Michigan market president, effective immediately. In her new role, Ms. Devine will lead all operational aspects of McLaren Health Plan while leading strategies to expand and enhance services for members across Michigan,…
CMS will audit every Medicare Advantage plan for potential overpayments annually, in what the agency called an “aggressive” plan to step up oversight. According to a May 21 news release, the agency plans to audit each of the more than…
Florida would see the largest increase in its uninsured population if ACA premium tax credits are not extended, and Medicaid work requirements and other changes are implemented, according to KFF. Lawmakers are considering a reconciliation package that would implement Medicaid…